OBJECTIVE: Amid ongoing medication safety concerns in China and limited research on public perceptions, this study investigates the correlations between media exposure, healthcare experiences, and individuals\' perceptions of medication safety. It also examines individuals\' reliance on information sources during safety crises.
METHODS: A multistage stratified random sampling was employed with the gross sample containing 3090 Chinese adults aged 18-60 years. Data were analyzed using multiple linear regression.
RESULTS: Social media exposure was found to negatively correlate with perceptions of current medication safety and its perceived improvement, while exposure to television and print media showed positive correlations. Positive healthcare experiences were associated with improved medication safety perceptions. Among various information sources, healthcare professionals were deemed most trustworthy during medication safety incidents.
CONCLUSIONS: Media exposure and personal healthcare experiences significantly shape individuals\' perceptions of medication safety in China, with healthcare professionals playing a crucial role in this context. Practiceimplications: Effective health crisis communication in China needs to be multifaceted, integrating traditional media and social media platforms to disseminate accurate information broadly. Additionally, healthcare professionals should be actively involved in crisis communication. Their role as trusted sources can be leveraged to clarify misconceptions, and reassure the public during medication safety incidents.

BACKGROUND: The incidence of cancer is on the rise annually, whereas there exists a significant deficit of healthcare personnel. Inadequate communication between healthcare providers and patients may result in adverse emotional outcomes for the latter and interfere with their treatment progress. A viable solution to alleviate patient distress involves utilizing text generation models as an efficacious tool for delivering patient education.
METHODS: In this study, we proposed an intelligent cancer patient education model (ICPEM) based on the pre-trained T5 model. Meanwhile, we presented a new method for optimizing the model\'s comprehension of the patient\'s intent through simulating the inquiries that the patient may ask. The datasets used include a doctor and patient dialogue dataset and a cancer patient education scenario dataset. After prompt-tuning, the model is capable of educating patients through four major aspects including medical examination, health care, radiotherapy, chemotherapy.
RESULTS: We conducted a comprehensive evaluation of the model by employing both automated and manual metrics. Our findings indicate that the responses generated by the model effectively catered to the requirements of patient education. Furthermore, our visualization analysis demonstrated the model\'s proficiency in processing sentences that are prone to confusion while maintaining a robust comprehension of human intent. Finally, several shortcomings of the model are presented, such as the inadequate amount of knowledge and the limited range of responses.
CONCLUSIONS: We proposed a method for training and deploying medical language models in a low-resource environment. The proposed model facilitated the comprehension of cancer patients\' intentions, resulting in suitable responses, which promotes effective patient-provider communication.

Good patient-provider communication and high level of trust can decrease patients\' risk perception and promote their acceptability of medical risks.The extent to which communication can be effective may be distinguished by different levels of trust. The present study examined the effect of patient-provider communication and treatment outcome on patients\' risk awareness, and explored the moderating effect of trust. This research adopted a paper-based scenario experiment with a 2 (communication: good vs. poor) × 2 (treatment outcome: good vs. poor) between-subjects design. Three hundred sixteen college students were enrolled. They were randomly assigned to four groups and instructed to read more information about the two independent variables. Finally, all participants finished the manipulation check (eight items), affect- and cognition-based trust scales (10 items), and risk awareness scales (eight items) by questionnaire. The results showed the positive interaction effects between communication and treatment outcome on patients\' acceptance of uncertainties. Affect- and cognition-based trust had similar moderating mechanisms on the interaction effect of communication and treatment outcome on uncertainty acceptability, and different moderating mechanisms on patient risk perception. In clinical work, we should develop the strategy to improve patien-provider communication and trust to improve patients\' acceptability of uncertainty.

OBJECTIVE: The aim of the study was to examine whether patient-provider communication interacts with treatment outcomes to influence patients\' risk perception.
BACKGROUND: Medical uncertainties and risks are among the most serious problems faced by patients. This is exacerbated by communication failure in patient-provider relationships and poor treatment outcomes. However, we do not know how communication and treatment outcomes shape patients\' risk perception and concern about uncertainty.
METHODS: The study is a two-by-two between-subjects design.
METHODS: Two studies were conducted and data were collected in 2019. Each study used a different research design and different samples: Study 1 used a scenario experiment with 120 undergraduate students; and Study 2 surveyed 200 inpatients in clinical settings.
RESULTS: The convergent results found a significant interaction between patient-provider communication and treatment outcome on the perception of medical risks among the participants.
CONCLUSIONS: Patient-provider communication interacts with treatment outcome to influence patients\' perceived risk about uncertainties for healthcare. Clinicians and nurses should be aware of the effects of patient-provider communication on patients\' risk perception in their concerns about the uncertainties of treatment and pay much more attention to good healthcare relationship building in addition to the improvement of objective treatment outcome.

Ethnic minorities across the globe encounter disparities in healthcare. While a great deal of research has been conducted on the experiences of these patients, studies focusing on the perspectives of healthcare professionals are limited, particularly in the context of Asia. This study explores the perceptions of and challenges faced by Hong Kong healthcare professionals in the provision of culturally appropriate care to South Asian ethnic minority patients. Taking a qualitative approach, interviews were conducted with 22 healthcare professionals. Two main themes were identified: \'lack of support\' at the healthcare system level and \'dysfunctional relationship with South Asian ethnic minority patients\' at the interpersonal level. Challenges at the healthcare system level include information outreach, cultural competency, utilisation of available resources and time and workload, whereas challenges at the interpersonal level include patient-provider interaction, patient-provider perceptions of illness and care and patient-provider sociocultural discordance. Intercultural care was found to be influenced by both the healthcare system and interpersonal characteristics. The study highlights the need for healthcare professional education and training in cultural competency, in order to improve the provision of intercultural care. Identifying the challenges faced by healthcare professionals and the implications of these challenges for the provision of healthcare to South Asian ethnic minority patients will help practitioners, policy makers and care provider agencies to improve quality of care and health outcomes for culturally diverse patients.

OBJECTIVE: To test a path model evaluating the influence of cultural competence of nurses on patient satisfaction and the mediating role of patient trust.
BACKGROUND: In China, there has been an increase in medical disputes, which at times has resulted in physical assaults on healthcare providers. Enhanced patient satisfaction may reduce disputes and can perhaps be bolstered by the improved cultural competence of providers.
METHODS: A cross-sectional path analytic research design was used.
METHODS: A random sample of 583 hospitalized patients recruited from six tertiary comprehensive hospitals in Changsha, China in 2016 completed a face-to-face structured questionnaire. Measures included the Consumer Assessment of Healthcare Providers and Systems Cultural Competency Item Set, the Wake Forest Physician Trust Scale, the Patient Satisfaction with Primary Nurses Scale and the Patient Overall Satisfaction with the Hospital Scale.
RESULTS: Significant associations among cultural competence of nurses, patient satisfaction and patient trust were confirmed, and path analyses supported the proposed mediating role of patient trust. Furthermore, the cultural competence subscales of communication-positive behaviours, trust-building behaviours and shared decision-making were positively and significantly correlated with patient satisfaction.
CONCLUSIONS: Findings suggest interventions should be designed to improve nurse\'s cultural competence, especially in the domains of communication-positive behaviours, trust-building behaviours and shared decision-making, and trust, to improve patient satisfaction.
目的: 检验用以评估护士文化能力对患者满意度的影响及患者信任中介作用的路径模型。 背景: 在中国,医疗纠纷不断增多,有时会导致医疗服务提供者遭受人身攻击。患者满意度的提高可以减少纠纷,而患者满意度可能通过提供者文化能力的提高而得到加强。 设计: 使用截面路径分析研究设计。 方法: 2016年,中国长沙市六所三级综合医院随机抽取583名住院患者,完成了一份面对面的结构化问卷。这些措施包括消费者对医疗保健的评估 供应商和系统文化能力项目集、Wake Forest医生 信任量表、患者对基层护士满意度量表和患者对医院整体满意度量表。 结果: 证实护士文化能力、患者满意度和患者信任之间存在显著相关性,路径分析支持所提出的患者信任的中介作用。此外,沟通-积极行为、建立信任行为和共享决策的文化能力分量表与患者满意度呈正相关且显著相关。 结论: 调查结果建议,应设计可提高护士文化能力的干预措施,特别是在积极沟通行为、信任建立行为和共享决策以及信任方面,从而提高患者满意度。.

Patient-provider communication (PPC) is utilized as a value-based metric in pay-for-performance programs. We sought to evaluate the association of PPC with patient-reported health outcomes, as well as healthcare resource utilization among a nationally representative cohort of patients with hepato-pancreato-biliary (HPB) diagnoses.
Patients with HPB diseases were identified from the 2008-2014 Medical Expenditure Panel Survey cohort. A weighted PPC composite score was categorized using the responses from the CAHPS (Consumer Assessment of Healthcare Providers and Systems) survey as optimal, average, or poor. Multivariate analysis was performed using logistic regression.
Among 1951 adult-patients, representing 21.7 million HPB patients, reported PPC was optimal (33.4%), average (46.3%), or poor (15.3%). Patients who were older and patients with low income were more likely to report poor PPC (both p < 0.05). Statin use, a quality of care measure, was associated with optimal PPC (OR 1.70, 95% CI 1.10-2.64; p = 0.01). In contrast, patients who reported poor PPC were more likely to have a poor physical (20.8%) or mental (8.8%) health component on their SF12 (both p < 0.05). Furthermore, patients with poor PPC were more likely to report poor mental status (OR 2.97, 95% CI 1.60-5.52), as well as higher emergency department visits (OR 1.95, 95% CI 1.25-3.05) and hospitalizations (OR 1.90, 95% CI 1.02-3.55) (both p < 0.05). Reported PPC was not associated with differences in overall healthcare expenditures or out-of-pocket expenditures.
PPC was associated with a wide spectrum of patient-specific demographic and health utilization factors. Self-reported patient satisfaction with provider communication may be impacted by other considerations than simply the patient-provider interaction.