• 2019-10
  • 2019-11
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  • Pertussis Toxin br In sum to date distinct health


    In sum, to date distinct health-related information-seeking preferences have been understudied and underreported [21]. Moreover, if further corroborated, the high prevalence of informa-tion avoidance reported herein, represents an enormous challenge for health care as active patient participation in their own care is becoming central to most health care institutions.
    As the American Society of Clinical Oncology (ASCO) [45] underscores the importance of patients becoming more actively involved in cancer-related decision-making, understanding their diagnosis and treatment, knowing their options, and not shying away from asking questions, it Pertussis Toxin seems crucial to delineate how distinct cancer information preferences modulate the success of these initiatives. For instance, how does being an active cancer information seeker as opposed to an information avoider affect provider-patient communication and shared treatment decision-making? In addition, providing cancer care teams with time-sensitive data that document potential changes in cancer information preferences over time and the effects of tailoring interventions accordingly are promising avenues for research. With the plethora of e- and m-health platforms available, it seems far easier now to provide clinicians with means of documenting these in real time, assessing changes as the cancer experience unfolds, and intervening accordingly.
    4.3. Practice implications
    In an era of person-centered and personalized care, health care providers still tend to have an approach that treats the “average”
    patient [46–49]. This often translates into providing normative care, “standard” content and length of consultations, and typical periodic follow-ups. To reinforce the shift from “prescriptive” to person-centered care, health care providers play a key role in inviting and encouraging patients to play an active role in their care and the decisions that affect their health and well-being. With this shift, the paradigm is rebalanced to favor patient empowerment and ensure that patient activation and ongoing engagement are enacted during challenging times. The success of this power shift depends, in part, on how information is exchanged and received among all involved. This shift could potentially be more deleterious to those who tend to be uninterested or avoid information about their health status. Often overlooked, patients’ CISP herein are found to include a high prevalence of avoidance behaviors, be more diverse than originally thought, and significantly linked to varying satisfaction with care. Future research will document CISP’s potential effects on a person’s propensity to self-manage, partner in their care and wellness, and sustain better health-related outcomes.
    Declaration of interest
    I would like to thank Warren Sateren, Jacqueline Vachon, and Dr. David Vachon for their input into data analysis and the creation of tables and figures. Murray Rochon and Saima Ahmed provided insightful feedback on earlier versions of the manuscript. The Rossy Cancer Network and the participating cancer centers financially and instrumentally supported the conduct of adenosine triphosphate (ATP) survey. As Chair Recipient, I also wish to acknowledge financial support for my program of research through the Christine and Herschel Victor/Hope & Cope Research Chair in Psychosocial Oncology based at McGill University.
    [3] A. Kitson, A. Marshall, K. Bassett, K. Zeitz, What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing, J. Adv. Nurs. 69 (2013) 4–15. [4] World Health Organization, Press Release, (2018) . (accessed 10 October 2018) [5] Canadian Partnership Against Cancer, Living with Cancer: A Report on the Patient Experience, (2018) . (Accessed 13 March 2018) http://www. utm_source=partner-toolkit&utm_medium=arcc-newsletter&utm_campaign=patient-experience.
    [6] S.M. Bluethmann, A.B. Mariotto, J.H. Rowland, Anticipating the’ ’Silver tsunami’’: prevalence trajectories and comorbidity burden among older cancer survivors in the United States, Cancer Epidemiol. Biomark. Prev. 25 (2016) 1029–1036.
    [15] S.D. Lambert, C.G. Loiselle, M.E. Macdonald, An in-depth exploration of information-seeking behavior among individuals with cancer: part 1: understanding differential patterns of active information seeking, Cancer Nurs. 32 (2009) 11–23.
    [16] S.D. Lambert, C.G. Loiselle, M.E. Macdonald, An in-depth exploration of information-seeking behavior among individuals with cancer: part 2: understanding patterns of information disinterest and avoidance, Cancer Nurs. 32 (2009) 26–36.