The fragility of trust between patients and oncologists: A multiple case study.
Details
Serval ID
serval:BIB_B0F9551A04A9
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
The fragility of trust between patients and oncologists: A multiple case study.
Journal
Palliative & supportive care
ISSN
1478-9523 (Electronic)
ISSN-L
1478-9515
Publication state
Published
Issued date
08/2023
Peer-reviewed
Oui
Volume
21
Number
4
Pages
585-593
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Abstract
This study aimed to explore in a naturalistic, real-life setting the dynamics of trust in oncological consultations.
Cases to study were purposively selected from a data set of audio-recorded and transcribed consultations between oncology physicians and patients with advanced cancer, and analyzed qualitatively. The analytical approach was deductive, relying on a thematic framework of dimensions of trust, and inductive, not restricted by this framework.
The multiple case study approach allowed to identify factors, which play a role in the dynamics of trust. These factors are the number of treating physicians and how they communicate, continuity of care and the capital of trust, the hierarchical position of the physician and the physician's self-trust, and the patient's personality.
The findings illustrate the importance to contextualize trust in the flow of oncological consultations and to conceive it comprehensively for each singular encounter between patients and clinicians.
Cases to study were purposively selected from a data set of audio-recorded and transcribed consultations between oncology physicians and patients with advanced cancer, and analyzed qualitatively. The analytical approach was deductive, relying on a thematic framework of dimensions of trust, and inductive, not restricted by this framework.
The multiple case study approach allowed to identify factors, which play a role in the dynamics of trust. These factors are the number of treating physicians and how they communicate, continuity of care and the capital of trust, the hierarchical position of the physician and the physician's self-trust, and the patient's personality.
The findings illustrate the importance to contextualize trust in the flow of oncological consultations and to conceive it comprehensively for each singular encounter between patients and clinicians.
Keywords
Humans, Trust, Physician-Patient Relations, Physicians, Oncologists, Patients, Advanced cancer, Case study, Context, Oncology
Pubmed
Web of science
Open Access
Yes
Create date
13/07/2022 11:43
Last modification date
23/08/2023 6:14
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