Universität zu Köln

Gross, Sophie E., Hillen, Marij A., Pfaff, Holger ORCID: 0000-0001-9154-6575 and Scholten, Nadine (2017). Second opinion in medical encounters - A study among breast cancer patients. Patient Educ. Couns., 100 (11). S. 1990 - 1996. CLARE: ELSEVIER IRELAND LTD. ISSN 0738-3991

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Abstract

Objective: To examine the association between whether physicians discuss the possibility of seeking a second opinion (SO) with patients and the patients' decision to seek an SO. We also investigated the impact of seeking such an opinion on patients' trust in physicians. Methods: Newly diagnosed breast cancer patients were surveyed postoperatively with a mail survey. A patient survey is carried out annually to evaluate the breast cancer centers in North Rhine-Westphalia, Germany. In 2016, survey data from 4517 patients in 87 hospitals were analyzed. Results: Physicians were more likely to inform patients under the age of 75 years with higher education levels about the possibility of seeking an SO. Our results indicate that requesting another opinion is associated with less trust in the physician. Conclusion: Our results indicate that physicians may selectively inform only a subset of patients about the possibility of seeking an SO. Patients who were informed about such a possibility are more likely to do so. Practice implications: Physicians may need to be careful to avoid inequalities based on the age and education of patients regarding giving information about the possibility of an SO. Moreover, breast cancer centers could provide material to patients regarding seeking an SO. (C) 2017 Elsevier B.V. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gross, Sophie E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hillen, Marij A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Scholten, Nadine UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-213667
DOI:	10.1016/j.pec.2017.05.038
Journal or Publication Title:	Patient Educ. Couns.
Volume:	100
Number:	11
Page Range:	S. 1990 - 1996
Date:	2017
Publisher:	ELSEVIER IRELAND LTD
Place of Publication:	CLARE
ISSN:	0738-3991
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HEALTH-CARE; ALTERNATIVE MEDICINE; SEEKING; EXPECTATIONS; ONCOLOGY; COMMUNICATION; NEED Multiple languages Public, Environmental & Occupational Health; Social Sciences, Interdisciplinary Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/21366