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Supportive Care in Cancer

, Volume 20, Issue 9, pp 1965–1973 | Cite as

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 ParkEmail author
  • Eun-Jung Shim
  • Myung-Il Hahm
  • Jong-Hyock Park
  • Eun-Cheol Park
Original Article

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.

Keywords

Oncology Consultation Need Trust Satisfaction 

Notes

Acknowledgments

This study has been supported by a grant from the National Cancer Center (Grant number; 0710170, 0910191), Republic of Korea. The authors would also like to thank the reviewers of this paper for their valid suggestions, which contributed to the improvement of the paper.

Financial disclosure/conflicts of interest

None.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Dong Wook Shin
    • 1
  • Jae-Hyun Park
    • 2
    Email author
  • Eun-Jung Shim
    • 3
  • Myung-Il Hahm
    • 4
  • Jong-Hyock Park
    • 5
  • Eun-Cheol Park
    • 6
  1. 1.Department of Family Medicine & Health Promotion Center, Seoul National University Hospital Cancer Survivorship ClinicSeoul National University Cancer HospitalSeoulSouth Korea
  2. 2.Department of Social and Preventive Medicine, Samsung Biomedical Research InstituteSungkyunkwan University School of MedicineSuwonSouth Korea
  3. 3.Department of PsychologyCatholic University of DaeguGyeongbukSouth Korea
  4. 4.Department of Health Administration and Management, College of Medical ScienceSoonchunhyang UniversityAsanSouth Korea
  5. 5.National Cancer Control InstituteNational Cancer CenterGyeonggi-doSouth Korea
  6. 6.Department of Preventive Medicine & Institute of Health Services ResearchYonsei University College of MedicineSeoulSouth Korea

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