Communicative challenges among physicians, patients, and family caregivers in cancer care: An exploratory qualitative study in Ethiopia.
Bethlehem Girma KebedeAynalem AbrahaRune AnderssonChristian MuntheMats LinderholmBarbro LinderholmNataliya Berbyuk LindströmPublished in: PloS one (2020)
This study has identified a number of serious challenges for successful and ethically acceptable health communication in Ethiopian cancer care. The study contributes to our understanding of the complexity around the role of family, combined with patients' dependency on family members for communication, support, and access to care, which creates particular ethical dilemmas for the medical staff. The questions raised by this study concern how to organize consultations to achieve patient-centered health communication, while maintaining a constructive alliance with the family and not jeopardizing the patient's continued access to care. The integration of communication training for medical students in Ethiopia, with a focus on ethical guidelines for family-centered patient consultation suitable for these circumstances, would be an essential step.
Keyphrases
- healthcare
- end stage renal disease
- palliative care
- public health
- newly diagnosed
- chronic kidney disease
- ejection fraction
- primary care
- mental health
- quality improvement
- prognostic factors
- case report
- risk assessment
- climate change
- patient reported outcomes
- chronic pain
- health information
- clinical practice
- health insurance
- decision making
- health promotion