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abstract
Objective
The
aim of this study was to review the literature on clinician
characteristics influencing patient–clinician communication or patient
outcome in oncology.
Methods
Studies
investigating the association of clinician characteristics with quality
of communication and with outcome for adult cancer patients were
systematically searched in MEDLINE, PSYINFO, PUBMED, EMBASE, CINHAL, Web
of Science and The Cochrane Library up to November 2012. We used the
preferred reporting items for systematic reviews and meta-analyses
statement to guide our review. Articles were extracted independently by
two of the authors using predefined criteria.
Results
Twenty
seven articles met the inclusion criteria. Clinician characteristics
included a variety of sociodemographic, relational, and personal
characteristics. A positive impact on quality of communication and/or
patient outcome was reported for communication skills training, an
external locus of control, empathy, a socioemotional approach, shared
decision-making style, higher anxiety, and defensiveness. A negative
impact was reported for increased level of fatigue and burnout and
expression of worry. Professional experience of clinicians was not
related to communication and/or to patient outcome, and divergent
results were reported for clinician gender, age, stress, posture, and
confidence or self-efficacy.
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