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Language barrier, cultural difference and patient involvement are key issues in patient-physician communication for Asian American breast cancer survivors.
Proper patient education with linguistically and culturally appropriate information and tools may help improve communication with physician and decision-making process.
As a next step, we plan to design and implement a theory-based, culturally and linguistically appropriate intervention to Korean breast cancer survivors. This will include skills to enhance patient-physician communication.
What Is Lacking in Patient-Physician Communication:
from Asian American Breast Cancer Patients’ and Oncologists’ Perspectives
Sunmin Lee,1 Grace X. Ma,2,3 Carolyn Y. Fang2,3,4 Lu Chen, 1 Youngsuk Oh,1 Lynn Scully1
1 Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, Maryland
2 Department of Public Health, College of Health Professions, Temple University, Philadelphia, Pennsylvania
3 Center for Asian Health, Temple University, Philadelphia, Pennsylvania
4 Cancer Prevention and Control, Fox Chase Cancer Center, Philadelphia, Pennsylvania
Acknowledgments: This research is a pilot project supported by NIH-NCI’s Community Network Program Center, ACCHDC U54 CNPC (1U54CA 153513-01, PI: Grace Ma)
n=9 (4 Chinese & 5 Koreans)
Participants were between 40-69 years of age. Majority were married (78%) and had college or above education (77%).
Most of them have completed active cancer treatment (89%). More than half were diagnosed with breast cancer within a year (56%).
Key Interview Questions To explore patient-physician communication process in Asian American breast cancer patients from both patients and oncologists perspectives.
Breast cancer is the leading cancer in incidence and among top five in mortality in Chinese & Korean women (CKW) in the U.S. (Miller et al., 2008)
Rapid and steady increase of breast cancer incidence in CKW since 1980’s. (Gormez et al., 2010)
Patient-physician communication and coordination is essential in the quality of cancer survivorship care. (Arora et al., 2011)
Asian American patients have reported lower satisfaction with health care compared to Whites and Blacks. (Saha, Arbelaez & Cooper, 2003)
Face-to-face in-depth interviews with nine Chinese or Korean breast cancer patients/survivors and three Asian oncologists who routinely provided care for Asian patients in the Washington DC metropolitan area.
A convenience sample of Chinese and Korean breast cancer survivors living in Washington D.C. metropolitan area.
Patients were recruited from community based organizations, posters on websites well known among Korean/Chinese immigrants, and personal contacts.
Oncologists were recruited from personal contacts. They were not necessarily oncologists of women we interviewed.
Data Collection and Analysis
Comprehensive interview guides were developed separately for patients and oncologists based on literature review and input from experts on breast cancer survivorship and oncologists.
Interviews were recorded, transcribed, and translated.
Transcripts were analyzed by two independent coders and their analysis was compared and contrasted, and finally agreed upon in the research team.
INTRODUCTION OBJECTIVE METHODS RESULTS CONCLUSION, IMPLICATIONS & NEXT STEP