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.

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.

scholarly journals Research on the Relationship Between Self-Management Efficacy and Quality of Life for Breast Cancer Patients Receiving Endocrine Therapy

2022 ◽  
Author(s):  
Hongjie Yi ◽  
Haoran Jiang ◽  
Aiping Wang ◽  
Wei Zong ◽  
Yu Dong ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Patients ◽  
Endocrine Therapy ◽  
Influencing Factors ◽  
The Self ◽  
Self Management ◽  
Breast Cancer Patients ◽  
The Relationship

Abstract Purpose To investigate the status quo and relationship between self-management efficacy and quality of life (QOL) of patients with breast cancer undergoing endocrine therapy, and to explore the influencing factors of QOL. Methods The convenience sampling method was used to select 240 patients who received endocrine therapy after breast cancer surgery in the First Hospital of China Medical University, the self-designed general data questionnaire, self-management efficacy questionnaire for breast cancer patients with endocrine therapy and quality of life scale for breast cancer patients were used to investigate. The frequency, percentage, mean ± standard deviation were used to describe patients' self-management efficacy and quality of life. Pearson correlation analysis was used to analyze the relationship between self-management efficacy and quality of life, and univariate analysis and multiple stepwise regression were used to analyze the influencing factors of QOL. Results The scores of self-management efficacy and QOL of patients with breast cancer endocrine therapy were 125.21 ± 25.57 and 153.33 ± 19.31 respectively, which were at the middle level; self-management efficacy was significantly positively correlated with quality of life ( p < 0.01 ) ; multiple stepwise regression results showed that self-management efficacy, the number of physical symptoms, monthly family income and recurrence and metastasis were the influencing factors of QOL. Conclusion The self-management efficacy of endocrine therapy was positively correlated with QOL in breast cancer patients. The higher the self-management efficacy of endocrine therapy, the better QOL in breast cancer patients. Self-management efficacy is the main factor affecting the quality of life of breast cancer patients undergoing endocrine therapy. Improving the level of self-management efficacy can improve their quality of life.

scholarly journals The Relationship of Defensive Styles and Islamic Quality of Life with Death Obsession in Women with Breast Cancer

2020 ◽  
Vol 4 (1) ◽  
pp. 15-22
Author(s):  
Alireza Sangani ◽  
Nahid Ramak ◽  
Leila Azizi ◽  
Paria Jangi
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Patients ◽  
Significant Relationship ◽  
Pearson Correlation ◽  
Breast Cancer Patients ◽  
Statistical Population ◽  
Defensive Style ◽  
The Relationship

Introduction: Breast cancer is one of the most common types of cancer in women with an increasing outbreak. The present study aimed to investigate the relationship between defensive styles and Islamic quality of life (QoL) with death obsession in women with breast cancer. Methods: This research was a correlational study. The statistical population of the study included 220 female patients with breast cancer; referring to Cancer Patients Association of Gorgan in 2019. According to Krejcie and Morgan’s table, 136 women were selected from breast cancer patients by simple random sampling. Islamic QoL questionnaire of Mohammad Namaqi et al., defense styles questionnaire of Andrews et al., and obsession with death questionnaire of Abdel-Khalek were applied. Data were analyzed; using the Kolmogorov-Smirnov test, Pearson correlation, and stepwise regression. Results: The results showed that there was a negative significant relationship betweenthe developed defensive style and the Islamic QoL with death obsession (P=0.001). There was a positive significant relationship between the neurotic and undeveloped defensive style with the death obsession (P=0.001). In addition, the results of the regression showed that the Islamic QoL (-0.257) and developed defensive style (-0.196) had the potential for predicting the obsession of death. Conclusions: These results emphasize the necessity of the role defensive styles and Islamic QoL on the death obsession. So, therapists and counseling in the treatment of cancer for reducing obsession may benefit from paying attention to Islamic QoL and defensive styles.

scholarly journals Investigating the Relationship between Self-efficacy and Quality of Life in Breast Cancer Patients Receiving Chemical Therapy

2017 ◽  
Vol 6 (1) ◽  
pp. 6 ◽  
Author(s):  
Reza Moradi ◽  
Mostafa Assar Roudi ◽  
Mohammad Mehdi Kiani ◽  
Seyed Abdelhossein Mousavi Rigi ◽  
Mahan Mohammadi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Patients ◽  
Self Efficacy ◽  
Breast Cancer Patients ◽  
The Relationship

scholarly journals The Relationship Between Level Anxiety And Sleeping Quality Of Breast Cancer Patients In One Day Care Chemotherapy Room

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Lucilla Suparmi ◽  
Fransisca Anjar Rina Setyani
Keyword(s):  
Breast Cancer ◽  
Side Effects ◽  
Cancer Patients ◽  
Day Care ◽  
P Value ◽  
Breast Cancer Patients ◽  
The Relationship ◽  
Purposive Sample ◽  
Severe Anxiety

Objective: Chemotheraphy is one of theraphy managements for breast cancer patients. Chemotherapy has some side effects like nausea, gag, alpoesia, etc. Those can increase patients’ anxiety. Then, this anxiety will give impact on sleeping quality disoeder. This research aims to identify the anxiety level of breast cancer patients in chemotheraphy ODC room.Methods: This research used crossectional design. There are 32 respondents as research sample choosen by purposive sample technic.Results: The result shows that most repondents (68,75 %) didnot feel anxiety, 15,63% got mild anxiety, 9,38% got moderate and severe anxiety, and no one got panic anxiety. Most respondents (71,87) had good sleeping quality and 28,13% had poor sleeping quality. There is no relationship between level anxiety and sleeping quality of cancer patients with P value = 0,182.Conclusion: There is no relationship between level anxiety and sleeping quality of cancer patients. Nurse should do persoal approach to patients who are still having severe anxiety and poor sleeping qualitiy.

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