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Patient-health care provider communication among patients with newly diagnosed prostate cancer: Findings from a population-based survey
Authors:Lixin Song  Jeannette T. Bensen  Catherine Zimmer  Betsy Sleath  Bonny Blackard  Elizabeth Fontham  L. Joseph Su  Christine S. Brennan  James L. Mohler  Merle Mishel
Affiliation:1. School of Nursing, University of North Carolina, Chapel Hill, USA;2. Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, USA;3. School of Public Health, University of North Carolina, Chapel Hill, USA;4. Odum Institute for Research in Social Science, University of North Carolina, Chapel Hill, USA;5. Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, USA;6. Louisiana State University Health Sciences Center, School of Public Health, New Orleans, USA;g National Cancer Institute, Division of Cancer Control and Population Sciences, Bethesda, USA;h Department of Urology, Roswell Park Cancer Institute, Buffalo, USA
Abstract:

Objective

To examine the multidimensional concept of patient-health care provider (HCP) communication, its effects on patient satisfaction with oncology care services, and related racial differences.

Methods

The current analysis draws from a population-based survey sample of 1011 African American and 1034 Caucasian American men with newly diagnosed prostate cancer. The variables of satisfaction with health care services, interpersonal treatment, contextual knowledge of the patient, and prostate cancer communication were analyzed using multiple-group structural equation modeling.

Results

Regardless of race, patient-HCP communication was related positively to interpersonal treatment by the HCP, HCP's contextual knowledge of the patient, and prostate cancer communication. More positive patient-HCP communication was related to more satisfaction with health care services. Racial differences were significant in the relationships between patient-HCP communication and prostate cancer communication.

Conclusion

Content and interpersonal relationships are important aspects of patient-HCP communication and affect patient satisfaction with oncologic care for prostate cancer.

Practice implications

HCPs need to integrate the transfer of information with emotional support and interpersonal connection when they communicate with men with newly diagnosed prostate cancer.
Keywords:Prostate cancer   Patient-health care provider communication   Satisfaction with health care services   Structural equation modeling
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