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candid communication (John Peppercorn , Asco 2011/Chicago ) [18/06/2011]

Jeffrey Peppercorn

Duke University Medical Center

   "disease directed therapy"   and "quality of life focused palliative care" :

  questi due approcci devono viaggiare insieme!

  Il nostro ruolo di oncologi non  e' di  supereroi  ne' di  Don Chisciotte : siamo  curanti esperti della malattia in oggetto   e avvocati  che tutelano i  diritti dei pazienti

Peppercorn Jco febbr 2011 Individualized care for patients with advanced cancer


si noti bene : una conversazione " candida" : non si intende  ingenua, ma franca e  leale

  Weinfurt Jco 2007 prospect theory


J Clin Oncol. 2007 Jan 10;25(2):223-7.

Value of high-cost cancer care: a behavioral science perspective.


Center for Clinical and Genetic Econimics, Duke Clinical Research Institute, Durham, NC 27715, USA.


Concerns about the high costs of cancer care have led to a renewed interest in understanding how patients value the outcomes of care. Psychologists, economists, and others have highlighted some of the ways in which patients and caregivers perceive and make treatment decisions. Prospect theory is the predominant framework for understanding decisions made in situations where the outcomes of each choice are uncertain. Prospect theory assumes that a patient values the outcomes of care not in absolute terms, such as years of life saved, but as deviations from the patient's point of reference. This article discusses some of the implications of this notion, along with discussing differences among people in their reference points. These and other considerations from the psychology of decision making help to clarify why some patients might be inclined to seek expensive or risky treatments in the hopes of achieving benefits that others might consider not worthwhile. An appreciation of these psychological issues might improve the quality of debates concerning the rising costs of cancer care.




Bold honest compassionate communication : la comunicazione  deve essere  coraggiosa   onesta e  partecipe

::::::    Creato il : 18/06/2011 da Magarotto Roberto    ::::::    modificato il : 18/06/2011 da Magarotto Roberto    ::::::