TY - JOUR
T1 - The Impact of Patient-Centered Care on Cancer Patients’ QOC, Self-Efficacy, and Trust Towards Doctors
T2 - Analysis of a National Survey
AU - Elkefi, Safa
AU - Asan, Onur
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - Patient-centered approaches impact cancer patients’ perceptions and outcomes in different ways. This study explores the impact of patient-centered care practices on cancer patients’ quality-of-care (QOC), self-efficacy, and trust in their doctors. We utilized cross-sectional national survey data from the National Cancer Institute collected between 2017 and 2020. All estimates were weighted using the jackknife method. We used multivariable logistic regression to test our hypotheses adjusted for the demographics of the 1932 cancer patients that responded to the survey. Findings indicate that patient-centered communication resulted in better QOC, self-efficacy, and trust in doctors. In addition, engagement in their care improved patients’ trust in cancer-related information received from doctors. QOC and patients’ trust in doctors were significantly improved with the patients’ understanding of the next steps, addressing feelings, clear explanation of the problems, spending enough time with the clinicians, addressing uncertainty, and involvement in decisions. Patients who were given a chance to ask questions were significantly more likely to trust their doctors. Technology use did not impact any of these interactions. Patient-centered strategies should consider the needs of the patients in the cancer settings to improve overall outcomes. Organizations should also build strategies that are goal-oriented and centered around the patients’ needs, as standard strategies cannot induce the wanted results.
AB - Patient-centered approaches impact cancer patients’ perceptions and outcomes in different ways. This study explores the impact of patient-centered care practices on cancer patients’ quality-of-care (QOC), self-efficacy, and trust in their doctors. We utilized cross-sectional national survey data from the National Cancer Institute collected between 2017 and 2020. All estimates were weighted using the jackknife method. We used multivariable logistic regression to test our hypotheses adjusted for the demographics of the 1932 cancer patients that responded to the survey. Findings indicate that patient-centered communication resulted in better QOC, self-efficacy, and trust in doctors. In addition, engagement in their care improved patients’ trust in cancer-related information received from doctors. QOC and patients’ trust in doctors were significantly improved with the patients’ understanding of the next steps, addressing feelings, clear explanation of the problems, spending enough time with the clinicians, addressing uncertainty, and involvement in decisions. Patients who were given a chance to ask questions were significantly more likely to trust their doctors. Technology use did not impact any of these interactions. Patient-centered strategies should consider the needs of the patients in the cancer settings to improve overall outcomes. Organizations should also build strategies that are goal-oriented and centered around the patients’ needs, as standard strategies cannot induce the wanted results.
KW - cancer
KW - communication
KW - electronic health records
KW - oncology
KW - patient-centered cancer care
KW - quality-of-care
KW - self-efficacy
KW - shared decision-making
KW - technology
KW - trust
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U2 - 10.1177/23743735231151533
DO - 10.1177/23743735231151533
M3 - Article
AN - SCOPUS:85146547933
SN - 2374-3735
VL - 10
JO - Journal of Patient Experience
JF - Journal of Patient Experience
ER -