St Andrews Research Repository

St Andrews University Home
View Item 
  •   St Andrews Research Repository
  • University of St Andrews Research
  • University of St Andrews Research
  • University of St Andrews Research
  • View Item
  •   St Andrews Research Repository
  • University of St Andrews Research
  • University of St Andrews Research
  • University of St Andrews Research
  • View Item
  •   St Andrews Research Repository
  • University of St Andrews Research
  • University of St Andrews Research
  • University of St Andrews Research
  • View Item
  • Login
JavaScript is disabled for your browser. Some features of this site may not work without it.

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

Thumbnail
View/Open
Allen_2018_High_patient_BJOMS_AAM.pdf (566.3Kb)
Date
07/2018
Author
Allen, Sarah
Harris, Rebecca V
Brown, Stephen L.
Humphris, G.
Zhou, Y.
Rogers, Simon N
Keywords
Doctor-patient communication
Head and neck cancer
Deprivation
VRCoDES
Indices of multiple deprivation
H Social Sciences (General)
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
NDAS
Metadata
Show full item record
Altmetrics Handle Statistics
Altmetrics DOI Statistics
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.
Citation
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 , vol. 56 , no. 6 , pp. 536-539 . https://doi.org/10.1016/j.bjoms.2018.05.015
Publication
British Journal of Oral and Maxillofacial Surgery
Status
Peer reviewed
DOI
https://doi.org/10.1016/j.bjoms.2018.05.015
ISSN
0266-4356
Type
Journal article
Rights
© 2018 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. This work has been made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1016/j.bjoms.2018.05.015
Description
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).
Collections
  • University of St Andrews Research
URI
http://hdl.handle.net/10023/17879

Items in the St Andrews Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

Advanced Search

Browse

All of RepositoryCommunities & CollectionsBy Issue DateNamesTitlesSubjectsClassificationTypeFunderThis CollectionBy Issue DateNamesTitlesSubjectsClassificationTypeFunder

My Account

Login

Open Access

To find out how you can benefit from open access to research, see our library web pages and Open Access blog. For open access help contact: openaccess@st-andrews.ac.uk.

Accessibility

Read our Accessibility statement.

How to submit research papers

The full text of research papers can be submitted to the repository via Pure, the University's research information system. For help see our guide: How to deposit in Pure.

Electronic thesis deposit

Help with deposit.

Repository help

For repository help contact: Digital-Repository@st-andrews.ac.uk.

Give Feedback

Cookie policy

This site may use cookies. Please see Terms and Conditions.

Usage statistics

COUNTER-compliant statistics on downloads from the repository are available from the IRUS-UK Service. Contact us for information.

© University of St Andrews Library

University of St Andrews is a charity registered in Scotland, No SC013532.

  • Facebook
  • Twitter