Symptom-related patient-provider communication among women with breast cancer receiving chemotherapy

2021 ◽  
pp. 102064
Author(s):  
Meagan S. Whisenant ◽  
Lorinda A. Coombs ◽  
Christina Wilson ◽  
Kathi Mooney
Keyword(s):  
Breast Cancer ◽  
Provider Communication ◽  
Patient Provider Communication

Patient-provider communication during post-treatment breast cancer care: Findings from a pilot project.

2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 91-91 ◽  
Author(s):  
Neetu Chawla ◽  
Michael Sanchez ◽  
Jayson Harpster ◽  
Leslie Manace Brenman ◽  
Raymond Liu
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Pilot Project ◽  
Post Treatment ◽  
Social Needs ◽  
Provider Communication ◽  
Breast Cancer Patients ◽  
Patient Centered ◽  
Treatment Side Effects ◽  
Patient Provider Communication

91 Background: Patient-provider communication is essential to delivering high quality cancer care, including post-treatment when survivors have many complex care needs. In this study, we used data collected for quality improvement from a small, feasibility sample to examine patient perceptions of provider communication and inform the development of a new Oncology Survivorship Clinic model. Methods: As part of a pilot project conducted at Kaiser Permanente Northern California (KPNC), we surveyed 51 breast cancer patients post-treatment. The survey included a communication measure from the 2011 Medical Expenditure Panel Survey (MEPS) Experiences with Cancer survey evaluating provider discussions of: surveillance for recurrence; late or long-term treatment effects; healthy lifestyle behaviors; and emotional or social needs. We also examined reports of the six core functions of patient-centered communication (i.e. managing uncertainty, responding to emotions, making decisions, fostering healing relationships, enabling self-management, and exchanging information) using a measure from the Health Information Trends Survey (HINTS) survey. Part of the purpose was to evaluate acceptability of a new Oncology Survivorship Clinic utilizing non-physician providers. Results: The sample included 51 breast cancer patients surveyed in 2016 within six months of treatment completion. Overall, sizable proportions received detailed communication about surveillance (65%), treatment side effects (46%), emotional needs (41%), and healthy lifestyles (71%) and the majority received patient-centered communication (range: 60-73% based on core function). Particular gaps were noted related to provider communication about treatment side effects (54%), emotional/social needs (59%), managing uncertainty (35%), and responding to emotions (40%). Conclusions: Our very preliminary findings suggest that the majority of women had positive communication experiences, including with non-physician providers. However, clear communications gaps existed underscoring future avenues for research and care delivery interventions to address the comprehensive needs of breast cancer patients.

The role of patient-provider communication for black women making decisions about breast cancer treatment

2010 ◽  
Vol 20 (12) ◽  
pp. 1309-1316 ◽  
Author(s):  
Vanessa B. Sheppard ◽  
Inez F. Adams ◽  
Ruth Lamdan ◽  
Kathryn L. Taylor
Keyword(s):  
Breast Cancer ◽  
Black Women ◽  
Cancer Treatment ◽  
Breast Cancer Treatment ◽  
Provider Communication ◽  
Patient Provider Communication

scholarly journals Effective patient-provider communication about sexual concerns in breast cancer: a qualitative study

2017 ◽  
Vol 25 (10) ◽  
pp. 3199-3207 ◽  
Author(s):  
Jennifer Barsky Reese ◽  
Mary Catherine Beach ◽  
Katherine Clegg Smith ◽  
Elissa T. Bantug ◽  
Kristen E. Casale ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Qualitative Study ◽  
Provider Communication ◽  
Patient Provider Communication ◽  
Sexual Concerns

scholarly journals Factors Associated with Breast Cancer Screening Adherence among Church-Going African American Women

2021 ◽  
Vol 18 (16) ◽  
pp. 8494
Author(s):  
Pooja Agrawal ◽  
Tzuan A. Chen ◽  
Lorna H. McNeill ◽  
Chiara Acquati ◽  
Shahnjayla K. Connors ◽  
...  
Keyword(s):  
Breast Cancer ◽  
African American ◽  
Health Insurance ◽  
Cancer Screening ◽  
African American Women ◽  
Breast Cancer Screening ◽  
Provider Communication ◽  
Factors Associated ◽  
Screening Adherence ◽  
Patient Provider Communication

Relative to White women, African American/Black women are at an increased risk of breast cancer mortality. Early detection of breast cancer through mammography screening can mitigate mortality risks; however, screening rates are not ideal. Consequently, there is a need to better understand factors associated with adherence to breast cancer screening guidelines to inform interventions to increase mammography use, particularly for groups at elevated mortality risk. This study used the Andersen Behavioral Model of Health Services Use to examine factors associated with adherence to National Comprehensive Cancer Network breast cancer screening guidelines amongst 919 African American, church-going women from Houston, Texas. Logistic regression analyses measured associations between breast cancer screening adherence over the preceding 12 months (adherent or non-adherent) and predisposing (i.e., age, education, and partner status), enabling (i.e., health insurance status, annual household income, employment status, patient-provider communication, and social support), and need (i.e., personal diagnosis of cancer, family history of cancer, and risk perception) factors, separately and conjointly. Older age (predisposing: OR = 1.015 (1.007–1.023)), having health insurance and ideal patient–provider communication (enabling: OR = 2.388 (1.597–3.570) and OR = 1.485 (1.080–2.041)), and having a personal diagnosis of cancer (need: OR = 2.244 (1.058–4.758)) were each associated with greater odds of screening adherence. Only having health insurance and ideal patient-provider communication remained significantly associated with screening adherence in a conjoint model; cancer survivorship did not moderate associations between predisposing/enabling factors and screening adherence. Overall, results suggest that interventions which are designed to improve mammography screening rates amongst African American women might focus on broadening health insurance coverage and working to improve patient–provider communication. Implications for multi-level intervention approaches, including the role of churches in their dissemination, are proposed.

scholarly journals Racial and Ethnic Disparities in Patient-Provider Communication With Breast Cancer Patients: Evidence From 2011 MEPS and Experiences With Cancer Supplement

2017 ◽  
Vol 54 ◽  
pp. 004695801772710 ◽  
Author(s):  
Shelley I. White-Means ◽  
Ahmad Reshad Osmani
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Ethnic Disparities ◽  
Medical Expenditure ◽  
Provider Communication ◽  
Breast Cancer Patients ◽  
Patient Provider Communication ◽  
Race Ethnicity ◽  
The Relationship

The current study explores racial/ethnic disparities in the quality of patient-provider communication during treatment, among breast cancer patients. A unique data set, Medical Expenditure Panel Survey and Experiences With Cancer Supplement 2011, is used to examine this topic. Using measures of the quality of patient-provider communication that patients are best qualified to evaluate, we explore the relationship between race/ethnicity and patients’ perspectives on whether (1) patient-provider interactions are respectful, (2) providers are listening to patients, (3) providers provide adequate explanations of outcomes and treatment, and (4) providers spend adequate time in interacting with the patients. We also examine the relationship between race/ethnicity and patients’ perspectives on whether their (1) doctor ever discussed need for regular follow-up care and monitoring after completing treatment, (2) doctor ever discussed long-term side effects of cancer treatment, (3) doctor ever discussed emotional or social needs related to cancer, and (4) doctor ever discussed lifestyle or health recommendations. Multivariate ordinary least squares and ordered logistic regression models indicate that after controlling for factors such as income and health insurance coverage, the quality of patient-provider communication with breast cancer patients varies by race/ethnicity. Non-Hispanic blacks experience the greatest communication deficit. Our findings can inform the content of future strategies to reduce disparities.

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