Assessment of challenges encountered by Dutch oncologists when patients ask for second opinions
Menée aux Pays-Bas par entretiens auprès de 26 oncologues, cette étude analyse les enjeux associés à la demande d'un second avis médical par les patients, notamment en termes de communication entre le médecin et son patient et de coûts financiers et logistiques pour le système de santé
Many patients with cancer seek second opinions to reconfirm their diagnosis, acquire more information, or receive better treatment.1 The desirability of a high rate of second opinions has been much debated. Proponents stress potential health gains, improved acceptance of initial diagnosis, and reduced anxiety for patients.2 Critics emphasize the limited clinical value,3 potential treatment delays, and financial and logistical burdens for the health care system.4 The triadic nature of second-opinion consultations, involving 2 physicians and 1 patient, can further complicate communication and induce emotional sensitivities. This study investigates the challenges cancer specialists encounter when confronted with second-opinion requests.
JAMA Oncology , résumé, 2017