ArticlePatient education and counseling2013
Physician communication styles in initial consultations for hematological cancer.
Article in Patient education and counseling, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Integrating patient values and preferences in healthcare: a systematic review of qualitative evidence.BMJ open · 2022Pooled it
- Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Pooled it
- The protective role of HCWs communication for the distress of newly diagnosed people with leukemia and lymphoma.PEC innovation · 2025Article
- More than "hematology": a qualitative study on the experience of hematologists treating people with blood cancer in Greece.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Communication Strategies of Transplant Hematologists in High-Risk Decision-Making Conversations.JCO oncology practice · 2024Article
- Treatment decision making (TDM): a qualitative study exploring the perspectives of patients with chronic haematological cancers.BMJ open · 2022Article
- Behavioral Patterns in Breaking Bad News Communication: An Ethnographic Study with Hematologists.International journal of environmental research and public health · 2022Article
- Article
- A general model of conversational dynamics and an example application in serious illness communication.PloS one · 2021Observational
- Development and preliminary evaluation of a communication skills training programme for hospital physicians by a specialized palliative care service: the 'Teach to Talk' programme.BMC medical education · 2020Article
- Developing a digital training tool to support oncologists in the skill of information-provision: a user centred approach.BMC medical education · 2020Article
- Defining the patient experience in medical oncology.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Improving Communication in Breast Cancer Treatment Consultation: Use of a Computer Test of Health Numeracy.Journal of women's health (2002) · 2019Article
- Modeling Health Disparities and Outcomes in Disenfranchised Populations.Community mental health journal · 2019Article
- Developing a digital communication training tool on information-provision in oncology: uncovering learning needs and training preferences.BMC medical education · 2018Article
- Information provision and attentive listening as determinants of patient perceptions of shared decision-making around chronic illnesses.SpringerPlus · 2016Article
- Reframing the goals of care conversation: "we're in a different place".Journal of palliative medicine · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo characterize practices in subspecialist physicians' communication styles, and their potential effects on shared decision-making, in second-opinion consultations.
methodsTheme-oriented discourse analysis of 20 second-opinion consultations with subspecialist hematologist-oncologists.
resultsPhysicians frequently "broadcasted" information about the disease, treatment options, relevant research, and prognostic information in extended, often-uninterrupted monologs. Their communicative styles had one of two implications: conveying options without offering specific recommendations, or recommending one without incorporating patients' goals and values into the decision. Some physicians, however, used techniques that encouraged patient participation.
conclusionsBroadcasting may be a suboptimal method of conveying complex treatment information in order to support shared decision-making. Interventions could teach techniques that encourage patient participation. PRACTICE IMPLICATIONS: Techniques such as open-ended questions, affirmations of patients' expressions, and pauses to check for patient understanding can mitigate the effects of broadcasting and could be used to promote shared decision-making in information-dense subspecialist consultations.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.