Cancer Patients’ Satisfaction with Doctors’ Care: Consequences and Contributing Conditions

The primary aims were to: discover whether there is a relationship in between doctors’ capability to identify patients’ worry and desire for details and self-efficacy with regards to talking with patients about difficult matters; describe which cues doctors consider when calculating patients’ worry and desire for information, and investigate whether there exists a relation between patients’ satisfaction with doctors’ care and patients’ psychosocial function. Eleven doctors and 69 sufferers (of which 36 patients took part in the longitudinal study) with carcinoid tumours enjoyed. Doctors’ self-efficacy, and capacity to identify patients’ worry/wish for information were investigated at patients’ first admission…

Doctors reported higher self-efficacy when showing good opportunity to identify patients’ want to information, than when showing less good ability, overestimated patients’ worry and undervalued patients’ would like information. Doctors considered patients’ verbal behaviour and the entire body language along with experience and knowledge when estimating people worry and require for information. Patients who met doctors showing good capacity to identify their desire information, reported a greater cognitive function than patients who met doctors showing less good ability. At all assessments patients expressed high satisfaction with doctor’ care and patients’ satisfaction didn’t change over time.

Contents: Cancer Patients Satisfaction with Doctors Care: Consequences and Contributing Conditions

Introduction
This thesis
Doctors’ self-efficacy with regard to communicating about difficult matters
Doctors’ ability to identify patients’ psychosocial function and wish for
information
Is cancer patients’ satisfaction with doctors’ care related to their psychosocial function?
Psychosocial function among patients with carcinoid tumours
What this thesis plans to add to the literature

Aims
Specific aims
Study I
Study II
Study III
Study IV
Methods
Setting
Study I, III, and IV
Study II
Design
Sample
Doctors
Patients
Doctors’ self-efficacy with regard to communicating about difficult
matters (Study I)
Doctors’ ability to identify patients’ worry and wish for information
(Study I and III)
Patients’ satisfaction with the initial consultation (Study I)
Patient attitudes, behaviours, and other factors considered by doctors
when estimating patients’ worry and wish for information (Study II)
Patients’ satisfaction with doctors’ care (Study III)
Patients’ HRQoL (Study III and IV)
Patients’ anxiety and depression (Study III and IV)
Disease- and treatment related distress (Study IV)
Procedure
Study I
Study II
Study III and IV
Data analysis
Statistical methods (Study I, III, IV)
Sensitivity and specificity (Study I)
Comparisons to Swedish population norms (Study IV)
Clinical significance (Study IV)
Content analysis (Study II)
Prevalence of aspects of disease- and treatment related distress (Study IV)…