Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering
Effective patient-clinician communication is central to the delivery of high-quality care. It becomes even more crucial in the cancer setting where patients have to deal with stress, uncertainty, complex information, and life-altering medical decisions. To encourage and inform future research that would help facilitate the delivery of patient-centered communication between cancer patients/family and the health care delivery team(s) across the cancer care continuum, the Outcomes Research Branch (ORB), in collaboration with the Health Communication and Informatics Research Branch (HCIRB), commissioned this monograph, Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering.
The monograph lays the foundation for future innovative research in the area of patient-centered communication in oncology as well as other illness settings. Highlights include:
- Conceptualization of patient-centered communication into six key functions;
- Emphasis on research that examines the relationship between patient-centered communication and patient health outcomes;
- Detailed discussion of potential mediating and moderating mechanisms of the association between communication and patient outcomes; and
- Identification of specific research priorities that would guide NCI in planning future research initiatives in this important area.
The monograph is provided below in Portable Document Format (PDF). A printed copy can also be obtained at no cost by calling 1-800-4-CANCER or by ordering online from NCI Publications Locator.
- Download an informational flyer for the monograph (PDF, 207 KB)
- Download the entire monograph in a single file (PDF, 1.9 MB)
- Download individual chapters:
- Cover and Title Page (PDF, 192 KB)
- Table of Contents (PDF, 41 KB)
- Forward by Robert T. Croyle, Ph.D., Director, Division of Cancer Control and Population Sciences (PDF, 49 KB)
- Preface by Neeraj K. Arora, Ph.D., Program Director, Patient-centered Care Research (PDF, 49 KB)
- Acknowledgments (PDF, 58 KB)
- List of Tables and Figures (PDF, 37 KB)
- Chapter 1: A Patient-Centered Approach to Cancer Communication Research (PDF, 237 KB)
- Chapter 2: A Framework for Patient-Centered Communication in Cancer Care (PDF, 293 KB)
- Chapter 3: Pathways from Communication to Health Outcomes: Mediators and Moderators (PDF, 300 KB)
- Chapter 4: Key Communication Tasks and Outcomes: The Cancer Care Continuum (PDF, 256 KB)
- Chapter 5: Methodological Challenges in Studying Clinical Communication in Cancer Care (PDF, 179 KB)
- Chapter 6: Summary, Conclusions, and Future Directions (PDF, 280 KB)
- Appendices (PDF, 526 KB)
- NCI's Communication Resources (PDF, 102 KB)
Epstein RM, Street RL Jr. Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. National Cancer Institute, NIH Publication No. 07-6225. Bethesda, MD, 2007.
All material in this report is in the public domain and may be reproduced or copied without permission; please use the recommended citation for source attribution.
Last Updated: 03 Mar 2017