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Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease
Open accessAbstract
The aim of the study was to investigate the association of physician communication behaviours as perceived by the patient with patient reported satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease in cancer patients. Questionnaires measuring distress, self-efficacy, and perceived control were completed prior to and after the consultation by 454 patients attending an oncology outpatient clinic. After the consultation, the patients also rated the physicians' communicative behaviours by completing a patient-physician relationship inventory (PPRI), and the physicians were asked to estimate patient satisfaction. The overall results showed that higher PPRI scores of physician attentiveness and empathy were associated with greater patient satisfaction, increased self-efficacy, and reduced emotional distress following the consultation. In contrast, lower PPRI scores were associated with reduced ability of the physician to estimate patient satisfaction. The results confirm and expand previous findings, suggesting that communication is a core clinical skill in oncology.
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“Many studies have documented the positive effect of provider empathy on patients, which include increased patient satisfaction, adherence, self-efficacy, perceptions of control, less emotional distress, and better outcomes.87–90”
From Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology (2007) · cites this paper as [90]
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Zhang, S., Huang, T., Li, H., & Chen, L. (2026) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.70297 · Cited by 2
“Positive responses can improve the effect of treatment (Cape et al. 2000; Jani et al. 2012) and enhance the patient's satisfaction and self-efficacy (Finset 2010; Zachariae et al. 2003).”
Communication Between Patients and Health Care Providers
Epner, D. E. (2014) · Springer eBooks · doi:10.1007/978-1-4939-0986-5_27 · Cited by 1
Breaking bad news: an interactive workshop for general practitioners
Thistlethwaite, J. E., Nehill, C., & Wilcoxon, H. (2009) · The Clinical Teacher · doi:10.1111/j.1743-498x.2009.00307.x · Cited by 1
“Patients of doctors who are empathic within this approach have been shown to have a greater capacity to cope with their disease and its treatment, and to experience a better quality of life.(5)”
BackgroundPeiró, G., & Sánchez, P. T. (2012) · Cited by 1
Saleh, N. S., & Yaacob, H. F. (2015) · Sains Humanika · doi:10.11113/sh.v4n1.361 · Cited by 1
Tarber, C., Frostholm, L., & Rehfeld, E. (2016) · Tidsskrift for Forskning i Sygdom og Samfund · doi:10.7146/tfss.v13i24.18843 · Cited by 1
Medical “Gatekeeping” for Psychosocial Research on Serious Illness
McGrath, P. D., Kaur, A., Feracho, R., & Patton, M. A. (2017) · Illness Crisis & Loss · doi:10.1177/1054137317718999 · Cited by 1
“Research by Zachariae et al. (2003) demonstrated that the lower the cancer patient rated the oncologist’s communicative behaviors the reduced ability of the physician to estimate patient satisfaction and distress.”
BackgroundMellblom, A. V., Ruud, E., Loge, J. H., Lie, H. C., & Finset, A. (2021) · Journal of Adolescent and Young Adult Oncology · doi:10.1089/jayao.2021.0123 · Cited by 1
Co-designing Patient-centered Health Communication Tools for Cancer Care
Gonzales, M., & Riek, L. D. (2013) · Proceedings of the ICTs for improving Patients Rehabilitation Research Techniques · doi:10.4108/pervasivehealth.2013.252109 · Cited by 1
Alfadli, F. M., Aljuaid, A., Althbaiti, M. A., Alhamyani, A. D., Alsoaimi, A. S., & Alzahrani, K. M. (2022) · World Family Medicine Journal/Middle East Journal of Family Medicine · doi:10.5742/mewfm.2022.95251368 · Cited by 1
Spiritual Beliefs, Illness Controllability and Subjective Wellbeing of Breast Cancer Patients
Awasthi, P., Agrawal, B., Shahi, U. P., & Saxena, S. (2022) · Purushartha - A Journal of Management Ethics and Spirituality · doi:10.21844/16202114203 · Cited by 1
Völkel, V., Steinger, B., Koller, M. T., Klinkhammer‐Schalke, M., & Lindberg, P. (2023) · BMC Cancer · doi:10.1186/s12885-023-10604-z · Cited by 1
“This underlines the importance of establishing a good patient-caregiver relationship [39].”
Ward, A. L., McPherson, L., & Glanaghy, E. M. (2023) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2023.151483 · Cited by 1
Coaching in Humanism: A Pilot Program for Medical Students
Matuska, M., Rogers, D., Frings, D., & Orlov, N. M. (2023) · Academic Medicine · doi:10.1097/acm.0000000000005384 · Cited by 1
Understanding the User's Point of View: When the Doctor Gets Sick with Cancer and Seeks Help
Massa, E., Lai, E., Donisi, C., Scartozzi, M., Orgiano, L., Mulas, O., Pretta, A., Caocci, G., & Carta, M. G. (2023) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/0117450179241325231011070735 · Cited by 1
The Use of Artificial Intelligence in Health Communication
Tanyıldızı, N. İ., & Yıldız, İ. (2024) · Advances in medical technologies and clinical practice book series · doi:10.4018/979-8-3693-3719-6.ch006 · Cited by 1
The Perspective of Romanian Patients on Continuous Therapy for Multiple Myeloma
Irimia, R. M., BADELITA, S. N., Barbu, S., Zidaru, L. E., Carlan, I. L., Preda, O. D., & Coriu, D. (2024) · Journal of Personalized Medicine · doi:10.3390/jpm14090910 · Cited by 1
“Studies have shown that higher ratings of empathy from cancer patients correlate with greater patient satisfaction and reduced emotional distress [12,13,33,34].”
BackgroundCompassionate care in the emergency department: A narrative review and blueprint for future inquiry
Marks, C. M., Scudder, A. M., Roberts, B. W., Haimovich, A. D., Trzeciak, S. W., & Shapiro, N. I. (2025) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2025.02.012 · Cited by 1
Niveles de empatía en una muestra de enfermeras españolas
Giménez‐Espert, M. D. C., Avivar-Cáceres, S., & Prado‐Gascó, V. (2016) · Cited by 1
Howson, A., Turell, W., & Roc, A. C. (2018) · Health Education Journal · doi:10.1177/0017896918763232 · Cited by 1
Fowler, L. A., & Shigley, S. B. (2018) · Emerald Group Publishing Limited eBooks · doi:10.1108/s1042-319220180000016012 · Cited by 1
Choosing the Right Oncologist and the Value of a Second Opinion
Cohen, M. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-1398-5.10005-0 · Cited by 1
Facial Emotional Perception Training for Medical Students
Campo, M. V., Vidal, L., Torres, Á., Mateos, R., Olivares, J. M., García-Lado, I., & García-Caballero, A. A. (2019) · Creative Education · doi:10.4236/ce.2019.108128 · Cited by 1
“The practitioner’s skills in recognizing and managing their patients’ emotional signals are associated with positive results in the quality of patient care (Zachariae et al., 2003; Squier, 1990; Kim et al., 2004; Hojat et al., 2011; Stewart et al., 2000).”
Background
Metadata
- Authors
- Zachariae, R., Pedersen, C. G., Jensen, A. B., Ehrnrooth, E., Rossen, P. B., & von der Maase, H.
- Affiliations
- Aarhus University Hospital (DK)
- Corresponding author
- Zachariae, R
- Venue
- British Journal of Cancer
- Published
- 2003-03
- Volume
- 88
- Issue
- 5
- Pages
- 658-665
- ISSN
- 0007-0920 (ISSN-L)
- 1532-1827
- PMC
- PMC2376357
- OpenAlex
- W2058562152
- Cited by
- 601
- References
- 40
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 25 · 2023: 32 · 2022: 47 · 2021: 37 · 2020: 34 · 2019: 27 · 2018: 27 · 2017: 40 · 2016: 30 · 2015: 40 · 2014: 30 · 2013: 41 · 2012: 43
- FWCI
- 17.82
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-sa
- www.springer.com/tdm (unspecified)
- Locations
- British Journal of Cancer (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Aarhus Universitet
- Aarhus Universitetshospital
- Kræftens Bekæmpelse
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- patient satisfaction, emotional distress, perceived control, physician empathy, physician-patient relationship
- MeSH terms
- Humans, Neoplasms, Physician-Patient Relations, Surveys and Questionnaires, Stress, Psychological, Patient Satisfaction, Self Efficacy
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