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Published in: BMC Cancer 1/2013

Open Access 01-12-2013 | Study protocol

Listening in on difficult conversations: an observational, multi-center investigation of real-time conversations in medical oncology

Authors: Brittany C Kimball, Katherine M James, Kathleen J Yost, Cara A Fernandez, Ashok Kumbamu, Aaron L Leppin, Marguerite E Robinson, Gail Geller, Debra L Roter, Susan M Larson, Heinz-Josef Lenz, Agustin A Garcia, Clarence H Braddock III, Aminah Jatoi, María Luisa Zúñiga de Nuncio, Victor M Montori, Barbara A Koenig, Jon C Tilburt

Published in: BMC Cancer | Issue 1/2013

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Abstract

Background

The quality of communication in medical care has been shown to influence health outcomes. Cancer patients, a highly diverse population, communicate with their clinical care team in diverse ways over the course of their care trajectory. Whether that communication happens and how effective it is may relate to a variety of factors including the type of cancer and the patient’s position on the cancer care continuum. Yet, many of the routine needs of cancer patients after initial cancer treatment are often not addressed adequately. Our goal is to identify areas of strength and areas for improvement in cancer communication by investigating real-time cancer consultations in a cross section of patient-clinician interactions at diverse study sites.

Methods/design

In this paper we describe the rationale and approach for an ongoing observational study involving three institutions that will utilize quantitative and qualitative methods and employ a short-term longitudinal, prospective follow-up component to investigate decision-making, key topics, and clinician-patient-companion communication dynamics in clinical oncology.

Discussion

Through a comprehensive, real-time approach, we hope to provide the fundamental groundwork from which to promote improved patient-centered communication in cancer care.
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Metadata
Title
Listening in on difficult conversations: an observational, multi-center investigation of real-time conversations in medical oncology
Authors
Brittany C Kimball
Katherine M James
Kathleen J Yost
Cara A Fernandez
Ashok Kumbamu
Aaron L Leppin
Marguerite E Robinson
Gail Geller
Debra L Roter
Susan M Larson
Heinz-Josef Lenz
Agustin A Garcia
Clarence H Braddock III
Aminah Jatoi
María Luisa Zúñiga de Nuncio
Victor M Montori
Barbara A Koenig
Jon C Tilburt
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2013
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-13-455

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