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Factors Affecting Physicians’ Intentions to Communicate Personalized Prognostic Information to Cancer Patients at the End of Life

Author

Listed:
  • Paul K. J. Han
  • Nathan F. Dieckmann
  • Christina Holt
  • Caitlin Gutheil
  • Ellen Peters

Abstract

Purpose. To explore the effects of personalized prognostic information on physicians’ intentions to communicate prognosis to cancer patients at the end of life, and to identify factors that moderate these effects. Methods. A factorial experiment was conducted in which 93 family medicine physicians were presented with a hypothetical vignette depicting an end-stage gastric cancer patient seeking prognostic information. Physicians’ intentions to communicate prognosis were assessed before and after provision of personalized prognostic information, while emotional distress of the patient and ambiguity (imprecision) of the prognostic estimate were varied between subjects. General linear models were used to test the effects of personalized prognostic information, patient distress, and ambiguity on prognostic communication intentions, and potential moderating effects of 1) perceived patient distress, 2) perceived credibility of prognostic models, 3) physician numeracy (objective and subjective), and 4) physician aversion to risk and ambiguity. Results. Provision of personalized prognostic information increased prognostic communication intentions ( P

Suggested Citation

  • Paul K. J. Han & Nathan F. Dieckmann & Christina Holt & Caitlin Gutheil & Ellen Peters, 2016. "Factors Affecting Physicians’ Intentions to Communicate Personalized Prognostic Information to Cancer Patients at the End of Life," Medical Decision Making, , vol. 36(6), pages 703-713, August.
    • Handle: RePEc:sae:medema:v:36:y:2016:i:6:p:703-713
    DOI: 10.1177/0272989X16638321
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    References listed on IDEAS

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