Patient-clinician communication about end-of-life care topics

Is anyone talking to patients with chronic obstructive pulmonary disease?

Lynn F. Reinke, Christopher G. Slatore, Jane Uman, Edmunds M. Udris, Brianna R. Moss, Ruth A. Engelberg, David H. Au

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Background: Reports describe patient and health care system benefits when clinicians engage in end-of-life conversations with patients diagnosed with life-limiting illnesses, yet most clinicians focus on life-preserving treatments and avoid conversations about end-of-life care. We describe patient-clinician communication practices about end-of-life care in patients with chronic obstructive pulmonary disease (COPD) using self-report questionnaires to: (1) characterize the content of patient-clinician communication about end-of-life care from the patient perspective, including topics that were not addressed and ratings of the quality of the communication for topics discussed and (2) determine whether clinician characteristics was associated with the absence of specific communication items addressed. Methods: Cross-sectional study of outpatients (n=376) who completed the Quality of Communication (QOC) questionnaire (outcome measure). The primary exposure was clinician training. We used logistic regression. All tests were two-tailed and p1] percent predicted 50%, SD 20). All end-of-life topics were underaddressed. Four topics were not addressed 77%-94% of the time. None of the QOC items varied significantly by clinician type in adjusted logistic regression. Conclusions: All end-of-life communication topics were underaddressed by clinicians, regardless of training, with four topics particularly unlikely to be discussed. End-of-life topics that are important to patients should be targeted for an intervention to facilitate improvement in clinicians' communication skills and practice and may improve patient satisfaction with clinician communication.

Original languageEnglish (US)
Pages (from-to)923-928
Number of pages6
JournalJournal of Palliative Medicine
Volume14
Issue number8
DOIs
StatePublished - Aug 1 2011

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Terminal Care
Chronic Obstructive Pulmonary Disease
Communication
Logistic Models
Patient Satisfaction
Self Report
Patient Care
Outpatients
Cross-Sectional Studies
Outcome Assessment (Health Care)
Delivery of Health Care

ASJC Scopus subject areas

  • Medicine(all)
  • Anesthesiology and Pain Medicine
  • Nursing(all)

Cite this

Patient-clinician communication about end-of-life care topics : Is anyone talking to patients with chronic obstructive pulmonary disease? / Reinke, Lynn F.; Slatore, Christopher G.; Uman, Jane; Udris, Edmunds M.; Moss, Brianna R.; Engelberg, Ruth A.; Au, David H.

In: Journal of Palliative Medicine, Vol. 14, No. 8, 01.08.2011, p. 923-928.

Research output: Contribution to journalArticle

Reinke, Lynn F. ; Slatore, Christopher G. ; Uman, Jane ; Udris, Edmunds M. ; Moss, Brianna R. ; Engelberg, Ruth A. ; Au, David H. / Patient-clinician communication about end-of-life care topics : Is anyone talking to patients with chronic obstructive pulmonary disease?. In: Journal of Palliative Medicine. 2011 ; Vol. 14, No. 8. pp. 923-928.
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