The delivery of palliative care to patients with advanced cancer and their families, whether done by oncology clinicians or palliative care clinicians, requires patient-centered communication. Excellent communication can introduce patients and families to palliative care in a nonthreatening way, build patient trust, enable symptom control, strengthen coping, and guide decision making. This review covers deficiencies in the current state of communication, patient preferences for communication about palliative care topics, best practices for communication, and the roles of education and system intervention. Communication is a two-way, relational process that is influenced by context, culture, words, and gestures, and it is one of the most important ways that clinicians influence the quality of medical care that patients and their families receive.

中文翻译：

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晚期癌症患者姑息治疗中的医患沟通问题

向晚期癌症患者及其家属提供姑息治疗，无论是由肿瘤临床医生还是姑息治疗临床医生完成，都需要以患者为中心的沟通。良好的沟通可以以无威胁的方式向患者和家属介绍姑息治疗，建立患者信任，实现症状控制，加强应对并指导决策。本综述涵盖了当前沟通状态的不足、患者对姑息治疗主题的沟通偏好、沟通的最佳实践以及教育和系统干预的作用。沟通是一种双向的关系过程，受语境、文化、语言和手势的影响，它是临床医生影响患者及其家人获得的医疗服务质量的最重要方式之一。