Predictors and outcomes of feeling of insufficient consultation time in cancer care in Korea

Results of a nationwide multicenter survey

Dong Wook Shin, Jae Hyun Park, Eun Jung Shim, Myung Il Hahm, Jong Hyock Park, Euncheol Park

Research output: Contribution to journalReview article

13 Citations (Scopus)

Abstract

Background: Shared decision making and an integrative approach is expected to result in better outcomes, but might require more time. While ensuring that sufficient consultation time is essential to quality cancer care, it is not clear whether cancer patients feel that the amount of consultation time with their oncologists is sufficient. Methods: Data were collected from 2,556 cancer patients on their perceived and preferred consultation time, and included potential predictors, such as socio-demographics, clinical, behavioral, and quality-of-life factors, as well as potential outcomes, including unmet patient needs, trust in doctor, and satisfaction. The feeling of insufficient consultation time was defined as the perception that consultation time is less than the preferred consultation time; multivariate analyses were used for identification of predictors and comparison of outcomes. Results: Overall, 37.1% felt that consultation time was less than preferred. Younger age, female sex, higher education level, having national health insurance, having been diagnosed with less common cancers, and having anxiety/depression were significantly associated with feelings of insufficient consultation time. Subjects with a feeling of insufficient consultation time reported higher current needs for information, physical symptoms, and psychological problems. They also reported less trust in their physician, lower overall satisfaction, and lower intention to continue treatment at the current cancer center. Conclusion: This study illustrated that high-quality cancer care, characterized by shared decision making and an integrative approach, seems to be related to sufficient consultation time that meets the individual's subjective needs, and measures should be taken to ensure sufficient consultation time.

Original languageEnglish
Pages (from-to)1965-1973
Number of pages9
JournalSupportive Care in Cancer
Volume20
Issue number9
DOIs
Publication statusPublished - 2012 Sep 1

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Korea
Emotions
Referral and Consultation
Neoplasms
Quality of Health Care
Decision Making
Surveys and Questionnaires
Time Perception
Sex Education
National Health Programs
Multivariate Analysis
Anxiety
Quality of Life
Demography
Depression
Psychology
Physicians

All Science Journal Classification (ASJC) codes

  • Oncology

Cite this

Shin, Dong Wook ; Park, Jae Hyun ; Shim, Eun Jung ; Hahm, Myung Il ; Park, Jong Hyock ; Park, Euncheol. / Predictors and outcomes of feeling of insufficient consultation time in cancer care in Korea : Results of a nationwide multicenter survey. In: Supportive Care in Cancer. 2012 ; Vol. 20, No. 9. pp. 1965-1973.
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abstract = "Background: Shared decision making and an integrative approach is expected to result in better outcomes, but might require more time. While ensuring that sufficient consultation time is essential to quality cancer care, it is not clear whether cancer patients feel that the amount of consultation time with their oncologists is sufficient. Methods: Data were collected from 2,556 cancer patients on their perceived and preferred consultation time, and included potential predictors, such as socio-demographics, clinical, behavioral, and quality-of-life factors, as well as potential outcomes, including unmet patient needs, trust in doctor, and satisfaction. The feeling of insufficient consultation time was defined as the perception that consultation time is less than the preferred consultation time; multivariate analyses were used for identification of predictors and comparison of outcomes. Results: Overall, 37.1{\%} felt that consultation time was less than preferred. Younger age, female sex, higher education level, having national health insurance, having been diagnosed with less common cancers, and having anxiety/depression were significantly associated with feelings of insufficient consultation time. Subjects with a feeling of insufficient consultation time reported higher current needs for information, physical symptoms, and psychological problems. They also reported less trust in their physician, lower overall satisfaction, and lower intention to continue treatment at the current cancer center. Conclusion: This study illustrated that high-quality cancer care, characterized by shared decision making and an integrative approach, seems to be related to sufficient consultation time that meets the individual's subjective needs, and measures should be taken to ensure sufficient consultation time.",
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Predictors and outcomes of feeling of insufficient consultation time in cancer care in Korea : Results of a nationwide multicenter survey. / Shin, Dong Wook; Park, Jae Hyun; Shim, Eun Jung; Hahm, Myung Il; Park, Jong Hyock; Park, Euncheol.

In: Supportive Care in Cancer, Vol. 20, No. 9, 01.09.2012, p. 1965-1973.

Research output: Contribution to journalReview article

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