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High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics

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High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics. / Allen, Sarah; Harris, Rebecca V; Brown, Stephen L.; Humphris, G.; Zhou, Y.; Rogers, Simon N.

In: British Journal of Oral and Maxillofacial Surgery, Vol. 56, No. 6, 07.2018, p. 536-539.

Research output: Contribution to journalArticle

Harvard

Allen, S, Harris, RV, Brown, SL, Humphris, G, Zhou, Y & Rogers, SN 2018, 'High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics' British Journal of Oral and Maxillofacial Surgery, vol. 56, no. 6, pp. 536-539. https://doi.org/10.1016/j.bjoms.2018.05.015

APA

Allen, S., Harris, R. V., Brown, S. L., Humphris, G., Zhou, Y., & Rogers, S. N. (2018). High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics. British Journal of Oral and Maxillofacial Surgery, 56(6), 536-539. https://doi.org/10.1016/j.bjoms.2018.05.015

Vancouver

Allen S, Harris RV, Brown SL, Humphris G, Zhou Y, Rogers SN. High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics. British Journal of Oral and Maxillofacial Surgery. 2018 Jul;56(6):536-539. https://doi.org/10.1016/j.bjoms.2018.05.015

Author

Allen, Sarah ; Harris, Rebecca V ; Brown, Stephen L. ; Humphris, G. ; Zhou, Y. ; Rogers, Simon N. / High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics. In: British Journal of Oral and Maxillofacial Surgery. 2018 ; Vol. 56, No. 6. pp. 536-539.

Bibtex - Download

@article{f3e6dd75dcf241f593ce6378b606699c,
title = "High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics",
abstract = "To examine associations between socioeconomic status and the extent to which patients with cancer of the head and neck expressed concerns to surgeons during routine follow-up clinics, we analysed audio recordings of 110 consultations with one consultant. We used the Verona Coding Definitions of Emotional Sequences (VRCoDES) to measure communication between the doctor and the patient, and grouped the English indices of multiple deprivation (IMD) 2015 scores into deciles to compare the VRCoDES with socioeconomic status. There were no significant correlations between IMD decile and the number and type of cues and concerns, or the type of response by the consultant, but there was a positive correlation between IMD decile and duration of appointment (r = 0.288, p < 0.01). When the duration of appointment was controlled for, there was a negative correlation between IMD decile and number of cues and concerns (r = −0.221, p < 0.05). These findings question the assumption that socioeconomic status is associated with a patient’s willingness to express concerns. Shorter consultations suggest that less time is spent responding to their concerns or building a rapport. Clinicians might find it advantageous to adopt strategies that will improve their understanding of these patients and help them to communicate more effectively.",
keywords = "Doctor-patient communication, Head and neck cancer, Deprivation, VRCoDES, Indices of multiple deprivation",
author = "Sarah Allen and Harris, {Rebecca V} and Brown, {Stephen L.} and G. Humphris and Y. Zhou and Rogers, {Simon N}",
note = "Sarah Allen is funded by The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care North West Coast (NIHR CLAHRC NWC).",
year = "2018",
month = "7",
doi = "10.1016/j.bjoms.2018.05.015",
language = "English",
volume = "56",
pages = "536--539",
journal = "British Journal of Oral and Maxillofacial Surgery",
issn = "0266-4356",
publisher = "Churchill Livingstone",
number = "6",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics

AU - Allen, Sarah

AU - Harris, Rebecca V

AU - Brown, Stephen L.

AU - Humphris, G.

AU - Zhou, Y.

AU - Rogers, Simon N

N1 - Sarah Allen is funded by The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care North West Coast (NIHR CLAHRC NWC).

PY - 2018/7

Y1 - 2018/7

N2 - To examine associations between socioeconomic status and the extent to which patients with cancer of the head and neck expressed concerns to surgeons during routine follow-up clinics, we analysed audio recordings of 110 consultations with one consultant. We used the Verona Coding Definitions of Emotional Sequences (VRCoDES) to measure communication between the doctor and the patient, and grouped the English indices of multiple deprivation (IMD) 2015 scores into deciles to compare the VRCoDES with socioeconomic status. There were no significant correlations between IMD decile and the number and type of cues and concerns, or the type of response by the consultant, but there was a positive correlation between IMD decile and duration of appointment (r = 0.288, p < 0.01). When the duration of appointment was controlled for, there was a negative correlation between IMD decile and number of cues and concerns (r = −0.221, p < 0.05). These findings question the assumption that socioeconomic status is associated with a patient’s willingness to express concerns. Shorter consultations suggest that less time is spent responding to their concerns or building a rapport. Clinicians might find it advantageous to adopt strategies that will improve their understanding of these patients and help them to communicate more effectively.

AB - To examine associations between socioeconomic status and the extent to which patients with cancer of the head and neck expressed concerns to surgeons during routine follow-up clinics, we analysed audio recordings of 110 consultations with one consultant. We used the Verona Coding Definitions of Emotional Sequences (VRCoDES) to measure communication between the doctor and the patient, and grouped the English indices of multiple deprivation (IMD) 2015 scores into deciles to compare the VRCoDES with socioeconomic status. There were no significant correlations between IMD decile and the number and type of cues and concerns, or the type of response by the consultant, but there was a positive correlation between IMD decile and duration of appointment (r = 0.288, p < 0.01). When the duration of appointment was controlled for, there was a negative correlation between IMD decile and number of cues and concerns (r = −0.221, p < 0.05). These findings question the assumption that socioeconomic status is associated with a patient’s willingness to express concerns. Shorter consultations suggest that less time is spent responding to their concerns or building a rapport. Clinicians might find it advantageous to adopt strategies that will improve their understanding of these patients and help them to communicate more effectively.

KW - Doctor-patient communication

KW - Head and neck cancer

KW - Deprivation

KW - VRCoDES

KW - Indices of multiple deprivation

U2 - 10.1016/j.bjoms.2018.05.015

DO - 10.1016/j.bjoms.2018.05.015

M3 - Article

VL - 56

SP - 536

EP - 539

JO - British Journal of Oral and Maxillofacial Surgery

T2 - British Journal of Oral and Maxillofacial Surgery

JF - British Journal of Oral and Maxillofacial Surgery

SN - 0266-4356

IS - 6

ER -

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ID: 253233217