Patient satisfaction and alliance as a function of the physician's self-regulation, the physician's stress, and the content of consultation in cancer care.

Détails

ID Serval
serval:BIB_53C52B286B64
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Patient satisfaction and alliance as a function of the physician's self-regulation, the physician's stress, and the content of consultation in cancer care.
Périodique
Psycho-oncology
Auteur(s)
De Vries AMM, Gholamrezaee M.M., Verdonck-de Leeuw I.M., Passchier J., Despland J.N., Stiefel F., de Roten Y.
ISSN
1099-1611 (Electronic)
ISSN-L
1057-9249
Statut éditorial
Publié
Date de publication
07/2017
Peer-reviewed
Oui
Volume
26
Numéro
7
Pages
927-934
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To investigate which characteristics of the physician and of the consultation are related to patient satisfaction with communication and working alliance.
Real-life consultations (N = 134) between patients (n = 134) and their physicians (n = 24) were audiotaped. All of the patients were aware of their cancer diagnosis and consulted their physician to discuss the results of tests (CT scans, magnetic resonance imaging, or tumor markers) and the progression of their cancer. The consultations were transcribed and coded with the "Defense Mechanisms Rating Scale-Clinician." The patients and physicians completed questionnaires about stress, satisfaction, and alliance, and the data were analyzed using robust linear modeling.
Patient satisfaction with communication and working alliance was high. Both were significantly (negatively) related to the physician's neurotic and action defenses-in particular to the defenses of displacement, self-devaluation, acting out, and hypochondriasis-as well as to the physician's stress level. The content of the consultation was not significantly related to the patient outcomes.
Our study shows that patient satisfaction with communication and working alliance is not influenced by the content of the consultation but is significantly associated with the physician's self-regulation (defense mechanisms) and stress. The results of this study might contribute to optimizing communication skills training and to improving communication and working alliance in cancer care.

Mots-clé
Adult, Aged, Aged, 80 and over, Communication, Female, Humans, Male, Middle Aged, Neoplasms/therapy, Patient Satisfaction/statistics & numerical data, Physician-Patient Relations, Physicians/psychology, Professional Autonomy, Stress, Psychological, Surveys and Questionnaires, Tape Recording, alliance, cancer, communication, defense mechanisms, oncology, patient satisfaction
Pubmed
Web of science
Création de la notice
04/08/2016 18:37
Dernière modification de la notice
20/08/2019 15:08
Données d'usage