Insights from cancer patient communication research

It is now accepted that doctor-patient communication can have a major influence on patient outcomes. This article reviews communication studies that have appeared in the recent oncology literature and have application to palliative care. Three major issues addressed are providing information, involving the patient in treatment decisions, and addressing emotional distress. Strategies to promote patient understanding, participation, and adjustment are discussed, including prompt sheets, consultation audiotapes, summary letters, improved communication within the multidisciplinary team, and general support. Finally, research in communication in the context of palliative care is described, which mirrors many of the themes explored in general oncology research.