Shared decision-making in older patients with colorectal or pancreatic cancer: determinants of patients ’ and observers’ perceptions
The number of older patients qualifying for oncologic treatment is rising. Due to concomitant co-morbidity and frailty among many of these patients, physicians are faced with increasingly complex treatment decision-making processes [1 –3]. Major surgery, chemotherapy, and radiotherapy in (frail) older cancer patients result in significant risks of complications that may jeopardize patients’ quality of life (QOL) and functioning. Colorectal (CRC) and pancreatic cancer (PC) resections in older patients are illustrative examples of high-risk procedures where treatment decision-making should be balanced on individual prefe...
Source: Patient Education and Counseling - June 13, 2018 Category: International Medicine & Public Health Authors: Noralie H Geessink, Eirik H. Ofstad, Marcel G.M. Olde Rikkert, Harry van Goor, J ürgen Kasper, Yvonne Schoon Source Type: research
Cystic fibrosis-related education: Are we meeting patient and caregiver expectations?
Cystic fibrosis (CF) is a complex disease state which requires education related to a variety of topics including lung health, nutrition, treatment, and genetics. Proper management of the CF patient requires thoughtful provision of patient education to both patients and their caregivers. New therapies and improved management have greatly increased life expectancy with the latest reported median survival age reported at 47.7 years [1]. It is therefore imperative that CF education is provided not only to the parents and caregivers of these patients but to the patients themselves. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 9, 2018 Category: International Medicine & Public Health Authors: Kevin P. Lonabaugh, Katherine S. O ’Neal, Heather McIntosh, Michelle Condren Source Type: research
How Female and Male Physicians ’ Communication Is Perceived Differently
When people hear the word “doctor”, they are more likely to think about a male than a female physician [1]. This is the result of gender stereotypes which affect what we expect from others, how we perceive and evaluate them, and how we behave towards them [2]. In the present article, we discuss how gender stereotypes aff ect physicians. This paper is based on a 2017 Baltimore International Conference on Communication in Healthcare (ICCH) plenary presentation by the first author. We provide a review of existing empirical findings and demonstrate how female and male physicians are perceived differently, even if they s ho...
Source: Patient Education and Counseling - June 7, 2018 Category: International Medicine & Public Health Authors: Marianne Schmid Mast, Keou Kadji Source Type: research
Surgeons ’ perspective on shared decision making in trauma surgery. A national survey
Originated in non-surgical disciplines, shared decision making (SDM) has become an accepted way of decision making in many medical fields and is particularly appropriate for decisions with more than one reasonable treatment option (i.e., preference-sensitive decisions). SDM is thought to improve patients ’ commitment to and satisfaction with their treatment, and to reduce their decisional conflict and anxiety [1–3]. In light of the increasing importance of patient autonomy in contemporary health care and the role that physicians have in supporting that autonomy, it is ethically imperative to mak e decisions that incorp...
Source: Patient Education and Counseling - June 6, 2018 Category: International Medicine & Public Health Authors: Sarah Woltz, Pieta Krijnen, Arwen H. Pieterse, Inger B. Schipper Source Type: research
Development and Initial Validation of the Appropriate Antibiotic Use Self-Efficacy Scale
Antibiotic resistance refers to genetic changes in bacteria that reduce or even eliminate an antibiotic ’s ability to destroy the bacteria [1]. Each year in the United States, over 2 million people contract serious antibiotic resistant infections, and over 23,000 people die due to these infections [2]. While antibiotic resistance is a natural adaptation in bacteria, inappropriate antibiotic use by h umans intensifies the issue of antibiotic resistance [1]. The Centers for Disease Control and Prevention (CDC) estimate that as much as half of all antibiotic use is unnecessary, thus exacerbating antibiotic resistance [2]. (...
Source: Patient Education and Counseling - June 4, 2018 Category: International Medicine & Public Health Authors: Erin M. Hill, Kaitlin Watkins Source Type: research
Prevalence and correlates of patient-centred preparatory information provision to Computed Tomography and Magnetic Resonance Imaging outpatients: A cross-sectional study
A key pillar of high-quality patient-centred care is responsiveness to patient needs, values and preferences [1 –3]. This includes delivery of patients’ preferred format, amount and timing of health-related information [1–3]. Patient-centred communication styles are typically associated with higher rates of patient satisfaction than more paternalistic, provider-centred approaches [4,5], and may lead to improved health outcomes, including enhanced medical decision-making, and improved physical and emotional health [6,7]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 2, 2018 Category: International Medicine & Public Health Authors: Lisa Hyde, Lisa Mackenzie, Allison W. Boyes, Tiffany-Jane Evans, Michael Symonds, Rob Sanson-Fisher Source Type: research
COPD Patient Education and Support – Achieving Patient-Centredness
Medicine is undergoing a revolution that will transform the traditional, prescriptive, reactive practice of healthcare into a proactive, personalised discipline [1], which in turn promotes patient behaviour change through more interactive coaching that targets individual problem areas. Moreover, this is leading to creation of new types of strategic partnerships between patients, physicians, large clinical centres, consortia of clinical centres and patient-advocate groups [1]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 1, 2018 Category: International Medicine & Public Health Authors: Ana Stoilkova-Hartmann, Frits M.E. Franssen, Ingrid M.L. Augustin, Emiel F.M. Wouters, Katharine D. Barnard Tags: Discussion Source Type: research
A Rigorous Evaluation of an Institutionally-Based Communication Skills Program for Post-Graduate Oncology Trainees
Physician-patient communication is an essential component of medical education because of its impact on patient and physician outcomes [1 –3]. Particular emphasis has been given to improving cancer communication due to the complex, challenging nature of cancer care [4]. Such programs have been developed, implemented, and evaluated internationally (e.g., [5–8]). (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - June 1, 2018 Category: International Medicine & Public Health Authors: Carma L. Bylund, Smita C. Banerjee, Philip A. Bialer, Ruth Manna, Tomer T. Levin, Patricia A. Parker, Elizabeth Schofield, Yuelin Li, Abraham Bartell, Alexander Chou, Shira A. Hichenberg, Maura Dickler, David W. Kissane Source Type: research
Empathy can make the difference. How?
In this issue of Patient Education and Counseling Lelorain et al. [1] and Visser et al. [2] present two different research papers on how empathy is perceived and its effects during oncological consultations. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 31, 2018 Category: International Medicine & Public Health Authors: Lidia Del Piccolo Tags: Editorial Source Type: research
Editorial Board
(Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 31, 2018 Category: International Medicine & Public Health Source Type: research
Shared decision-making and parental experiences with health services to meet their child ’s special health care needs: Racial and ethnic disparities
Children with special health care needs (CSHCN) are a priority for the national health agenda given their need for timely and coordinated care that can improve health service experiences and outcomes. CSHCN are defined as those who are at increased risk for chronic physical, developmental, behavioral, and/or emotional conditions and who require physical, behavioral health, and related services (e.g., social services) of a type or amount beyond that required by children in the general population [1]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 31, 2018 Category: International Medicine & Public Health Authors: M ónica Pérez Jolles, Pey-Jiuan Lee, Joyce Javier Source Type: research
Which patient and doctor behaviours make a medical consultation more effective from a patient point of view. Results from a European multicentre study in 31 countries
Primary care consultation deserves to be considered a “meeting between experts” [1], where the doctor’s and patient’s perspectives should be synergistically balanced and integrated [2]. In this view, the effectiveness of the medical encounter relies on the shared responsibility that both parties assume for making the communication fruitful. Pat ients, who were asked to express their opinion on reciprocal duties in the consultation, indicated that it was equally important for doctors as well as patients to communicate honestly, to be open about treatment and information, and to manage time effectively [3]. (Source: ...
Source: Patient Education and Counseling - May 30, 2018 Category: International Medicine & Public Health Authors: Maria Angela Mazzi, Michela Rimondini, Egbert van der Zee, Wienke Boerma, Christa Zimmermann, Jozien Bensing Source Type: research
Health literacy and surgery expectations in total hip and knee arthroplasty patients
Health literacy influences the ability to obtain, comprehend, and act on health information [1]. Nutbeam [2] describes “interactive health literacy” as a patient’s capacity to derive meaning from different forms of communication and to apply it for individual benefit. Low health literacy affects about 90 million Americans [1] and is a barrier to self-care; patients and their caregivers may lack the skills to u nderstand complicated instructions that deal with medications, wound care, self-monitoring, follow up schedules, and prevention behaviors. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - May 28, 2018 Category: International Medicine & Public Health Authors: Kristie B. Hadden, Latrina Y. Prince, Marty K. Bushmiaer, Jamie C. Watson, C. Lowry Barnes Source Type: research
The relationship between role preferences in decision-making and level of psychological distress in patients with head and neck cancer
Head and neck cancer (HNC) represents more than ten different primary tumour sites, with many possible types of cancer (pathology) within each. The treatment decisions are often complex because of the functional morbidity associated with radical surgery and high-dose radiotherapy, the main forms of HNC treatment. These decisions have a significant impact on a patient ’s body image, psychological wellbeing, productivity, and lifestyle [1–4]. Whilst the importance of these decisions is undisputed, at present, there is little to guide clinicians regarding how active patients want to be in the decision-making process. (Sou...
Source: Patient Education and Counseling - May 28, 2018 Category: International Medicine & Public Health Authors: Joe Jabbour, Haryana M. Dhillon, Heather L. Shepherd, Puma Sundaresan, Chris Milross, Jonathan R. Clark Source Type: research
An N of One
Unless you are a visiting nurse or oncologist you might not have seen a breast that has been decimated by a cancer that ulcerates with relentless aggression through the skin. I am neither of those things, and I hadn ’t. I have worked in health care all of my life, as a physical therapist, then a developmental specialist, and now as a mental health professional. It was in none of those roles that I encountered this image, an image so graphic that it was too disturbing to include in this article. In June 2016, I received a call from my brother in London telling me that his wife’s triple negative breast cancer had returne...
Source: Patient Education and Counseling - May 24, 2018 Category: International Medicine & Public Health Authors: Elizabeth A. O ’Donnell Tags: Discussion Source Type: research
