Patient education and counseling
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To give a comprehensive overview of benefits and challenges from participating in group based patient education programs that are carried out by health care professionals and lay participants, aimed at promoting self-management for people living with chronic illness. ⋯ The insights gained from this review can enable researchers, health care professionals, and participants to understand the complexity in evaluating self-management patient education programs, and constitute a basis for a more standardized and systematic evaluation. The results may also encourage health care professionals in planning and carrying out programs in cooperation with lay participants.
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In 2013, the USPSTF issued a Grade B recommendation that long-term current and former smokers receive lung cancer screening. Shared decision-making is important for individuals considering screening, and patient-provider discussions an essential component of the process. We examined prevalence and predictors of lung cancer screening discussions pre- and post-USPSTF guidelines. ⋯ There is a critical need for patient and provider education about shared decision-making and its importance in cancer screening decisions.
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Cancer patients use complementary and alternative medicine (CAM), but do not routinely talk about it with their clinicians. This study describes CAM discussions in oncology visits, the communication patterns that facilitate these discussions and their association with visit satisfaction. ⋯ CAM discussions are perceived positively by both patients and clinicians and are facilitated by patient-centered visit communication.
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We describe the different ways in which illness represents an existential problem, and its implications for shared decision-making. ⋯ In doing shared decision-making, care is needed to encompass existential aspects; informing and exploring preferences is not enough.
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Cultural portrayals of physicians suggest an unclear and even contradictory role for humility in the physician-patient relationship. Despite the social importance of humility, however, little empirical research has linked humility in physicians with patient outcomes or the characteristics of the doctor-patient visit. The present study investigated the relationship between physician humility, physician-patient communication, and patients' perceptions of their health during a planned medical visit. ⋯ Interventions to improve physician humility may promote better communication between health care providers and patients, and, in turn, better patient outcomes.