An essential component of patient-centered care is the communication between patients and their providers, which can affect patients’ health outcomes A cancer care model, developed by Epstein and Street, includes a multi-dimensional patient-centered communication (PCC) framework with six functions: foster healing relationships, exchange information, respond to emotions, manage uncertainty, make decisions, and enable patient self-management. Seven domains that describe the functions were included on the Health Information National Trends Survey (HINTS) to assess PCC. We examined the association between sociodemographic and health-related factors and PCC as well as how U.S. adults, by different age groups, ranked different domains of PCC.

Nationally representative data (n = 5,738) from 2017 to 2018 HINTS were merged to examine predictors of PCC among U.S. adults. Weighted statistics describe the study sample and prevalence for ratings of PCC domains. A multivariate linear regression model was computed to assess associations among predictors and PCC.

Participants rated their communication with doctors in the last year with an overall mean of 80 out of 100. Older age, those reporting excellent health, and those with higher confidence in taking care of one’s health predicted better PCC. Individuals who reported being non-Hispanic Asian and having lower household income were associated with poorer communication. Participants’ lowest rating of PCC concentrated on providers dealing with their emotional needs.

Findings suggest that many patients do not feel that their providers adequately manage, communicate, nor respond to their emotional needs. Future efforts should enhance interpersonal exchanges among sub-populations who report poorer communication with providers during clinical visits.

以患者为中心的护理的一个重要组成部分是患者与其提供者之间的沟通，这会影响患者的健康结果 由 Epstein 和 Street 开发的癌症护理模型包括一个多维以患者为中心的沟通 (PCC) 框架，其中包含六个功能：培养治愈关系、交换信息、对情绪做出反应、管理不确定性、做出决定以及使患者能够自我管理。健康信息国家趋势调查 (HINTS) 中包含了描述功能的七个领域，以评估 PCC。我们研究了社会人口统计学和健康相关因素与 PCC 之间的关联，以及不同年龄组的美国成年人如何对 PCC 的不同领域进行排名。

合并了 2017 年至 2018 年 HINTS 的全国代表性数据（n = 5,738），以检查美国成年人 PCC 的预测因素。加权统计描述了 PCC 域评级的研究样本和普遍性。计算多元线性回归模型以评估预测因子和 PCC 之间的关联。

参与者对他们去年与医生的交流进行了评分，总体平均值为 80 分（满分 100 分）。年龄较大、身体状况良好以及对照顾自己的健康更有信心的人预测 PCC 会更好。报告为非西班牙裔亚裔且家庭收入较低的个人与沟通较差有关。参与者对 PCC 的最低评级集中在处理他们情感需求的提供者上。

调查结果表明，许多患者认为他们的提供者没有充分管理、沟通或回应他们的情感需求。未来的努力应加强报告在临床访问期间与提供者沟通较差的亚群之间的人际交流。