Authors: LiQi Chiu WeiShan Delice Lee Fei Gao Patricia A Parker GimYew Ng CheeKeong Toh
Publish Date: 2006/02/16
Volume: 14, Issue: 8, Pages: 818-824
Abstract
It is important to understand cancer patients’ preferences for communication as it impacts on how unfavourable news should be delivered in such a way as not to demoralize the patients while at the same time maintain good doctor–patient relationships However few studies have been undertaken in the Asian countries This study aims to determine the preferences of cancer patients regarding the disclosure of unfavourable news in an Asian population in Singapore Two hundred cancer patients at the National Cancer Centre Singapore completed a Measure of Patients’ Preferences MPP questionnaire on how they would like their physicians to tell them unfavourable news about their condition The patients rated the content and context of the communication as well as the physicians’ characteristics on a fivepoint Likert scale Items that scored the highest mostly related to physicians’ expertise and content of the interaction while those relating to the supportive aspects scored the lowest Gender was significantly associated with scores on the support subscale of the MPP such that women reported that the supportive elements were more important than the men did No other demographic and medical characteristics were associated with patients’ preferences Exploratory factor analysis yielded two main factors which accounted for 7938 of the common variance Patients’ preferences in our local Asian population are fairly similar to those obtained from other studies conducted in the West despite possible sociocultural differences such as the use of euphemisms
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