Communication and consumer decision making about cancer clinical trials

被引:31
作者
Albrecht, TL
Ruckdeschel, JC
Riddle, DL
Blanchard, CG
Penner, LA
Coovert, MD
Quinn, G
机构
[1] Univ S Florida, H Lee Moffitt Canc Ctr, Coll Med, Med Interact Res Grp,Dept Interdisciplinary Oncol, Tampa, FL 33612 USA
[2] Univ S Florida, Res Inst, MRC, CANCONT, Tampa, FL 33612 USA
[3] Univ S Florida, Coll Med, Dept Interdisciplinary Oncol, Tampa, FL USA
[4] Barbara Ann Karmanos Canc Inst, Detroit, MI USA
[5] Univ S Florida, Dept Psychol, Tampa, FL 33620 USA
关键词
clinical trials; mediating effects; uncertainty;
D O I
10.1016/S0738-3991(03)00078-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Communication between patients and physicians likely mediates traditional patient and physician predispositions in determining patient outcomes. including perceptions and decision making. However, the extent to which a mediating effect occurs is unclear. The purpose Of this essay is to outline the need for conceptualizing more holistic models of consumer-provider interaction that demonstrate the role of the therapeutic relationship in treatment outcomes. We focus on an important communicative context for exploring this question: the Situation where patients, with the help of oncologists, are faced with making treatment choices, particularly whether to enroll in a clinical trial in response to their life-threatening cancer diagnosis. We explore the question from the perspectives of the medical provider, the patient, and the accompanying family member, in order to better frame the complex interactional dynamics occurring during, the interaction. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:39 / 42
页数:4
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