Document Detail


A conceptual framework for patient-provider communication: a tool in the PRO research tool box.
MedLine Citation:
PMID:  19043804     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To demonstrate how a previously described conceptual framework of physician-patient communication can inform the application of existing theory and the extension of new theory regarding the impact of patient-reported outcomes (PROs) in clinical practice. METHOD: We used a communication framework to guide interpretation of empirical results relating to three situations: Collecting PROs from individual patients, providing individual patient's PROs to his/her physician, and providing PROs from clinical trials to individual patients. RESULTS: For each of the selected situations, results of empirical studies of PROs are discussed in terms of the elements of the communication framework. These influences are developed into testable hypotheses regarding the impact of PROs and alternative hypotheses explaining empirical research results. We further illustrate how the conceptual framework can be knitted to other theories of communication to enhance understanding of the use of PROs in clinical practice. CONCLUSION: Guidance of a conceptual framework of communication can enhance understanding of PRO study results and lead to testable hypotheses about how to further improve the clinical use of PROs.
Authors:
D Feldman-Stewart; M D Brundage
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Publication Detail:
Type:  Journal Article     Date:  2008-11-29
Journal Detail:
Title:  Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation     Volume:  18     ISSN:  1573-2649     ISO Abbreviation:  Qual Life Res     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-08-28     Revised Date:  2009-10-09    
Medline Journal Info:
Nlm Unique ID:  9210257     Medline TA:  Qual Life Res     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  109-14     Citation Subset:  IM    
Affiliation:
Division of Cancer Care and Epidemiology, Queen's University Cancer Research Institute, Level 2, 10 Stuart St., Kingston, ON, K7L 3N6, Canada. deb.feldman-stewart@krcc.on.ca
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MeSH Terms
Descriptor/Qualifier:
Clinical Trials as Topic
Communication*
Concept Formation*
Data Collection
Humans
Medical Oncology
Outcome Assessment (Health Care) / methods*
Patient Satisfaction*
Professional-Patient Relations*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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