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Title: The Relationship between Therapeutic Alliance and Quality of Care in Patients with Advanced Cancer in Spain
Author: Velasco-Durántez, Verónica
Mihic-Góngora, Luka
Coca-Membribes, Sara
Galán-Moral, Rocío
Fernández Montes, Ana
Castillo-Trujillo, Oscar
Sorribes, Elena
Quilez, Alicia
Puntí-Brun, Laura
Jiménez Fonseca, Paula
Calderón Garrido, Caterina
Keywords: Malalts de càncer
Relacions metge-pacient
Cancer patients
Physician-patient relationships
Issue Date: 24-Mar-2023
Publisher: MDPI
Abstract: The therapeutic alliance is an important factor in successful cancer treatment, particularly for those with advanced cancer. This study aims to determine how the therapeutic alliance relates to prognostic preferences and satisfaction with the physician and medical care among patients with advanced cancer. We conducted a cross-sectional study to explore the therapeutic relationship, trust, satisfaction with healthcare, and prognostic preferences among 946 patients with advanced cancer at 15 tertiary hospitals in Spain. Participants completed questionnaires with self reported measures. Most were male, aged > 65 years, with bronchopulmonary (29%) or colorectal (16%) tumors and metastatic disease at diagnosis. Results revealed that 84% of patients had a good therapeutic alliance. Collaborative and affective bond was positively associated with a preference to know the prognosis and satisfaction with care and decision. There was no difference in a therapeutic alliance based on clinical or sociodemographic factors. The therapeutic alliance between patient and physician is essential for successful treatment outcomes and better overall satisfaction. Therefore, it is vital for healthcare providers to focus on establishing and maintaining a strong relationship with their patients. To achieve this, transparency and care should be prioritized, as well as respect for the preferences of patients regarding the prognosis of their illness.
Note: Reproducció del document publicat a:
It is part of: Current Oncology, 2023, vol. 30, num. 4, p. 3580-3589
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ISSN: 1198-0052
Appears in Collections:Articles publicats en revistes (Psicologia Clínica i Psicobiologia)

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