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  • br Peipins L A et al Radiographic

    2020-08-28


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    Contents lists available at ScienceDirect
    Patient Education and Counseling
    Cancer information-seeking preferences linked to distinct patient experiences and differential satisfaction with cancer care
    a Department of Oncology and Ingram School of Nursing, McGill University, Canada
    Article history:
    Keywords:
    Patient needs
    Cancer information-seeking preferences
    Information avoidance
    Personalized cancer care
    Person-centered care
    Patients as partners
    Satisfaction with cancer care 
    Objective: True person-centered care (PCC) involves anticipating, responding to, and integrating patients’ needs and preferences as the illness experience unfolds. PCC success rests, in part, on quality provider-patient communication and tailored information exchange. These processes can have profound effects on the patient experience, self-management and health outcomes including survival. Cancer information-seeking preferences (CISP) by patients are increasingly found to modulate illness and care processes. However, research has yet to document the CISP types and prevalence as well as their associations with satisfaction with care.
    Method: Individuals (N = 2142) treated for cancer in the last 6 months completed the Ambulatory Oncology Patient Satisfaction Survey (AOPSS) and a CISP measure.
    Results: Whereas 60.3% (n = 1292) reported wanting to actively seek information about their cancer, a surprisingly high percentage (i.e., 39.7%; n = 850) did not. Men reported avoiding cancer information to a greater extent than women, χ2 (4, N = 2108) = 12.00, p = 0.02. CISP were also differentially associated with 6 key domains of satisfaction, with intense seekers consistently being less satisfied.
    Conclusion and practice implications: These findings underscore how CISP can significantly affect patients’ cancer experience as well as their care satisfaction. © 2019 Elsevier B.V. All rights reserved.
    1. Introduction
    Current approaches to treating cancer call for a better integration of person-centered care (PCC) – defined as a respectful, personalized approach that considers individuals as unique with specific needs and preferences – into main stream cancer care. In fact, more recent proposals push even the notion of patients as partners (PP) including them as integral health care team members [1,2]. Key aspects of these movements include information exchanges that meet the needs of patients and open health care provider-patient communication [3]. Given the increasing number of individuals diagnosed with cancer (18.1 million new cases worldwide) as well as more cancer survivors (one million in Canada and 15.5 million in the US) [4–6], attention to their needs is crucial to optimizing health processes and outcomes as the illness experience unfolds. In line with PCC and PP, patients’ input into