title: Predictors and outcomes of feeling of insufficient consultation time in cancer care in Korea: results of a nationwide multicenter survey.
abstract: BACKGROUND
  Shared decision making and an integrative approach is expected to result in better outcomes, but might require more time. While ensuring that sufficient consultation time is essential to quality cancer care, it is not clear whether cancer patients feel that the amount of consultation time with their oncologists is sufficient.
  
  
  METHODS
  Data were collected from 2,556 cancer patients on their perceived and preferred consultation time, and included potential predictors, such as socio-demographics, clinical, behavioral, and quality-of-life factors, as well as potential outcomes, including unmet patient needs, trust in doctor, and satisfaction. The feeling of insufficient consultation time was defined as the perception that consultation time is less than the preferred consultation time; multivariate analyses were used for identification of predictors and comparison of outcomes.
  
  
  RESULTS
  Overall, 37.1% felt that consultation time was less than preferred. Younger age, female sex, higher education level, having national health insurance, having been diagnosed with less common cancers, and having anxiety/depression were significantly associated with feelings of insufficient consultation time. Subjects with a feeling of insufficient consultation time reported higher current needs for information, physical symptoms, and psychological problems. They also reported less trust in their physician, lower overall satisfaction, and lower intention to continue treatment at the current cancer center.
  
  
  CONCLUSIONS
  This study illustrated that high-quality cancer care, characterized by shared decision making and an integrative approach, seems to be related to sufficient consultation time that meets the individual's subjective needs, and measures should be taken to ensure sufficient consultation time.
authors: Department of Family Medicine & Health Promotion Center, Seoul National University Hospital Cancer Survivorship Clinic, Seoul National University Cancer Hospital, Seoul, South Korea.
authors: Dong Wook
authors: DW
authors: Shin
authors: Jae-Hyun
authors: JH
authors: Park
authors: Eun-Jung
authors: EJ
authors: Shim
authors: Myung-Il
authors: MI
authors: Hahm
authors: Jong-Hyock
authors: JH
authors: Park
authors: Eun-Cheol
authors: EC
authors: Park
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003657:Decision Making; D005260:Female; D019538:Health Care Surveys; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D009819:Office Visits / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D056910:Republic of Korea; D011795:Surveys and Questionnaires; D013997:Time Factors; D055815:Young Adult