Journal
BRITISH JOURNAL OF CANCER
Volume 88, Issue 5, Pages 658-665Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/sj.bjc.6600798
Keywords
patient-physician relationship; communication skills; self-efficacy; anxiety; depression; anger
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The aim of the study was to investigate the association of physician communication behaviours as perceived by the patient with patient reported satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease in cancer patients. Questionnaires measuring distress, self efficacy, and perceived control were completed prior to and after the consultation by 454 patients attending an oncology outpatient clinic, After the consultation, the patients also rated the physicians' communicative behaviours by completing a patient-physician relationship inventory (PPRI), and the physicians were asked to estimate patient satisfaction. The overall results showed that higher PPRI scores of physician attentiveness and empathy were associated with greater patient satisfaction, increased self-efficacy, and reduced emotional distress following the consultation, In contrast, lower PPRI scores were associated with reduced ability of the physician to estimate patient satisfaction. The results confirm and expand previous findings, suggesting that communication is a core clinical skill in oncology. (C) 2003 Cancer Research UK.
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