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Ann Fam Med
2007 Jan 01;55:387-94. doi: 10.1370/afm.721.
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Improving communication between doctors and breast cancer patients.
Stewart M
,
Brown JB
,
Hammerton J
,
Donner A
,
Gavin A
,
Holliday RL
,
Whelan T
,
Leslie K
,
Cohen I
,
Weston W
,
Freeman T
.
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PURPOSE: We wanted to assess the effectiveness of intensive education for physicians compared with a traditional session on communicating with breast cancer patients.
METHODS: A randomized controlled trial was conducted in practices in London, Hamilton, and Toronto, Canada, with 17 family physicians, 16 surgeons, and 18 oncologists, and with 102 patients of the surgeons and oncologists. Doctors were randomized to 1 of 2 continuing education approaches: a traditional 2-hour version (control group), or a new 6-hour intensive version including exploring the patients'' perspectives and reviewing videotapes and receiving feedback (intervention group). Communication behavior of the physicians was measured objectively both before and after the intervention. As well, 4 postintervention patient outcomes were measured, by design only for surgeons and oncologists: patient-centerdness of the visit, satisfaction, psychological distress, and feeling better.
RESULTS: No significant differences were found on the communication score of the intervention vs the control physicians when controlling for preintervention communication scores. Intervention family physicians, however, had significantly higher communication subscores than control family physicians. Also, patients of the intervention surgeons and oncologists were significantly more satisfied (scores of 82.06 vs 77.78, P = .03) and felt better (88.2% vs 70.6%, P=.02) than patients of the control surgeons and oncologists when controlling for covariates and adjusting for clustering within doctor.
CONCLUSIONS: The continuing medical education intervention was effective in terms of some but not all physician and patient outcomes.
Baile,
Communication skills training in oncology. Description and preliminary outcomes of workshops on breaking bad news and managing patient reactions to illness.
1999, Pubmed
Baile,
Communication skills training in oncology. Description and preliminary outcomes of workshops on breaking bad news and managing patient reactions to illness.
1999,
Pubmed
Borgiel,
Evaluating the effectiveness of 2 educational interventions in family practice.
1999,
Pubmed
Brown,
Certification examination of the College of Family Physicians of Canada. Part 4: Simulated office orals.
1996,
Pubmed
Carney,
Recognizing and managing depression in primary care: a standardized patient study.
1999,
Pubmed
Davis,
Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes?
1999,
Pubmed
Epstein,
Patient-centered communication and diagnostic testing.
2005,
Pubmed
Fallowfield,
Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial.
2002,
Pubmed
Fallowfield,
Psychological outcomes in women with early breast cancer.
1990,
Pubmed
Fallowfield,
Teaching senior oncologists communication skills: results from phase I of a comprehensive longitudinal program in the United Kingdom.
1998,
Pubmed
Ford,
Can oncologists detect distress in their out-patients and how satisfied are they with their performance during bad news consultations?
1994,
Pubmed
Golin,
The role of patient participation in the doctor visit. Implications for adherence to diabetes care.
1996,
Pubmed
Griffin,
Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials.
2004,
Pubmed
Hall,
Meta-analysis of satisfaction with medical care: description of research domain and analysis of overall satisfaction levels.
1988,
Pubmed
Henbest,
Patient-centredness in the consultation. 2: Does it really make a difference?
1990,
Pubmed
Hutchison,
Provision of preventive care to unannounced standardized patients.
1998,
Pubmed
Korsch,
Gaps in doctor-patient communication. 1. Doctor-patient interaction and patient satisfaction.
1968,
Pubmed
Lerman,
Communication between patients with breast cancer and health care providers. Determinants and implications.
1993,
Pubmed
Levinson,
Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons.
1997,
Pubmed
Levinson,
The effects of two continuing medical education programs on communication skills of practicing primary care physicians.
1993,
Pubmed
McWilliam,
Breast cancer patients' experiences of patient-doctor communication: a working relationship.
2000,
Pubmed
Mead,
Patient-centredness: a conceptual framework and review of the empirical literature.
2000,
Pubmed
Roberts,
Influence of physician communication on newly diagnosed breast patients' psychologic adjustment and decision-making.
1994,
Pubmed
Roter,
Improving physicians' interviewing skills and reducing patients' emotional distress. A randomized clinical trial.
1995,
Pubmed
Smith,
The effectiveness of intensive training for residents in interviewing. A randomized, controlled study.
1998,
Pubmed
Stewart,
The impact of patient-centered care on outcomes.
2000,
Pubmed
,
Echinobase
Stewart,
The patient-centred clinical method. 3. Changes in residents' performance over two months of training.
1986,
Pubmed
Stewart,
Effective physician-patient communication and health outcomes: a review.
1995,
Pubmed
Tate,
Assessing physicians' interpersonal skills via videotaped encounters: a new approach for the Royal College of General Practitioners Membership examination.
1999,
Pubmed
