Trends in cancer survivors’ experience of patient-centered communication

results from the Health Information National Trends Survey (HINTS)

Danielle Blanch-Hartigan, Neetu Chawla, Richard P. Moser, Lila J Rutten, Bradford W. Hesse, Neeraj K. Arora

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Purpose: Two Institute of Medicine reports almost a decade apart suggest that cancer survivors often feel “lost in transition” and experience suboptimal quality of care. The six core functions of patient-centered communication: managing uncertainty, responding to emotions, making decisions, fostering healing relationships, enabling self-management, and exchanging information, represent a central aspect of survivors’ care experience that has not been systematically investigated. Methods: Nationally representative data from four administrations of the Health Information National Trends Survey (HINTS) was merged with combined replicate weights using the jackknife replication method. Linear and logistic regression models were used to assess (1) characteristics of cancer survivors (N = 1794) who report suboptimal patient-centered communication and (2) whether survivors’ patient-centered communication experience changed from 2007 to 2013. Results: One third to one half of survivors report suboptimal patient-centered communication, particularly on core functions of providers helping manage uncertainty (48 %) and responding to emotions (49 %). In a fully adjusted linear regression model, survivors with more education (Wald F = 2.84, p = .04), without a usual source of care (Wald F = 11.59, p <.001), and in poorer health (Wald F = 9.08, p <.001) were more likely to report less patient-centered communication. Although ratings of patient-centered communication improved over time (p trend = .04), this trend did not remain significant in fully adjusted models. Conclusions: Despite increased attention to survivorship, many survivors continue to report suboptimal communication with their health care providers. Implications for Cancer Survivors: Survivorship communication should include managing uncertainty about future risk and address survivors’ emotional needs. Efforts to improve patient-centered communication should focus on survivors without a usual source of care and in poorer health.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalJournal of Cancer Survivorship
DOIs
StateAccepted/In press - May 19 2016

Fingerprint

Health Communication
Survivors
Communication
Neoplasms
Uncertainty
Linear Models
Health
Emotions
Survival Rate
Logistic Models
Surveys and Questionnaires
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Foster Home Care
Quality of Health Care
Self Care
Health Personnel
Decision Making

Keywords

  • Cancer survivorship
  • Emotions
  • Patient-centered care
  • Patient-provider communication
  • Uncertainty

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

Cite this

Trends in cancer survivors’ experience of patient-centered communication : results from the Health Information National Trends Survey (HINTS). / Blanch-Hartigan, Danielle; Chawla, Neetu; Moser, Richard P.; Rutten, Lila J; Hesse, Bradford W.; Arora, Neeraj K.

In: Journal of Cancer Survivorship, 19.05.2016, p. 1-11.

Research output: Contribution to journalArticle

Blanch-Hartigan, Danielle ; Chawla, Neetu ; Moser, Richard P. ; Rutten, Lila J ; Hesse, Bradford W. ; Arora, Neeraj K. / Trends in cancer survivors’ experience of patient-centered communication : results from the Health Information National Trends Survey (HINTS). In: Journal of Cancer Survivorship. 2016 ; pp. 1-11.
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abstract = "Purpose: Two Institute of Medicine reports almost a decade apart suggest that cancer survivors often feel “lost in transition” and experience suboptimal quality of care. The six core functions of patient-centered communication: managing uncertainty, responding to emotions, making decisions, fostering healing relationships, enabling self-management, and exchanging information, represent a central aspect of survivors’ care experience that has not been systematically investigated. Methods: Nationally representative data from four administrations of the Health Information National Trends Survey (HINTS) was merged with combined replicate weights using the jackknife replication method. Linear and logistic regression models were used to assess (1) characteristics of cancer survivors (N = 1794) who report suboptimal patient-centered communication and (2) whether survivors’ patient-centered communication experience changed from 2007 to 2013. Results: One third to one half of survivors report suboptimal patient-centered communication, particularly on core functions of providers helping manage uncertainty (48 {\%}) and responding to emotions (49 {\%}). In a fully adjusted linear regression model, survivors with more education (Wald F = 2.84, p = .04), without a usual source of care (Wald F = 11.59, p <.001), and in poorer health (Wald F = 9.08, p <.001) were more likely to report less patient-centered communication. Although ratings of patient-centered communication improved over time (p trend = .04), this trend did not remain significant in fully adjusted models. Conclusions: Despite increased attention to survivorship, many survivors continue to report suboptimal communication with their health care providers. Implications for Cancer Survivors: Survivorship communication should include managing uncertainty about future risk and address survivors’ emotional needs. Efforts to improve patient-centered communication should focus on survivors without a usual source of care and in poorer health.",
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