查看文章

Oncology guidelines recommend earlier communication with patients about prognosis and goals‐of‐care in serious illness. However, current evidence leaves gaps in our understanding of the experience of these conversations. This analysis evaluates the patient and clinician experience of a conversation using a Serious Illness Conversation Guide (SICG).

Secondary analysis from a cluster‐randomized clinical trial in a northeastern cancer center.

Physicians, advanced practice clinicians, and patients with advanced cancer who received the intervention.

SICG, clinician training, systems‐changes.

The patient questionnaire assessed perceptions of the conversation and impact on anxiety, hopefulness, peacefulness, sense of control over medical decisions, closeness with their clinician, and behaviors. The clinician …