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Family companions' involvement during pre-surgical consent visits for major cancer surgery and its relationship to visit communication and satisfaction.
- Source :
-
Patient Education & Counseling . Jun2018, Vol. 101 Issue 6, p1066-1074. 9p. - Publication Year :
- 2018
-
Abstract
- <bold>Objective: </bold>To examine the association between family companion presence during pre-surgical visits to discuss major cancer surgery and patient-provider communication and satisfaction.<bold>Methods: </bold>Secondary analysis of 61 pre-surgical visit recordings with eight surgical oncologists at an academic tertiary care hospital using the Roter Interaction Analysis System (RIAS). Surgeons, patients, and companions completed post-visit satisfaction questionnaires. Poisson and logistic regression models assessed differences in communication and satisfaction when companions were present vs. absent.<bold>Results: </bold>There were 46 visits (75%) in which companions were present, and 15 (25%) in which companions were absent. Companion communication was largely emotional and facilitative, as measured by RIAS. Companion presence was associated with more surgeon talk (IRR 1.29, p = 0.006), and medical information-giving (IRR 1.41, p = 0.001). Companion presence was associated with less disclosure of lifestyle/psychosocial topics by patients (IRR 0.55, p = 0.037). In adjusted analyses, companions' presence was associated with lower levels of patient-centeredness (IRR 0.77, p 0.004). There were no differences in patient or surgeon satisfaction based on companion presence.<bold>Conclusion: </bold>Companions' presence during pre-surgical visits was associated with patient-surgeon communication but was not associated with patient or surgeon satisfaction.<bold>Practice Implications: </bold>Future work is needed to develop interventions to enhance patient-companion-provider interactions in this setting. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ONCOLOGIC surgery
*PROFESSIONAL-patient communication
*PATIENT satisfaction
*PATIENTS' families
*SURGEONS
*COMMUNICATION
*FAMILIES
*INFORMED consent (Medical law)
*MEDICAL appointments
*PATIENT-professional relations
*PROBABILITY theory
*QUESTIONNAIRES
*SATISFACTION
*LOGISTIC regression analysis
*SECONDARY analysis
*PREOPERATIVE period
*DESCRIPTIVE statistics
TUMOR surgery
Subjects
Details
- Language :
- English
- ISSN :
- 07383991
- Volume :
- 101
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Patient Education & Counseling
- Publication Type :
- Academic Journal
- Accession number :
- 129508018
- Full Text :
- https://doi.org/10.1016/j.pec.2018.01.011