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Comment & Response |

Working to Shift Clinician Perception

Anthony L. Back, MD1
[+] Author Affiliations
1Department of Medicine, University of Washington, Seattle Cancer Care Alliance, Seattle
JAMA Intern Med. 2015;175(9):1577-1578. doi:10.1001/jamainternmed.2015.3132.
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To the Editor We wish to interject a note of caution regarding interpretation of the survey of clinician perceptions by You et al.1 In our view, clinician perceptions reflect clinician beliefs, and how they frame their beliefs may not reflect patient realities. The survey finding that patients and families are barriers to goals-of-care conversations reflects the common clinician belief that patients do not want to talk about goals of care.


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September 1, 2015
John J. You, MD, MSc; Daren K. Heyland, MD
1Department of Medicine, McMaster University, Hamilton, Ontario, Canada2Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ontario, Canada
3Kingston General Hospital, Clinical Evaluation Research Unit, Kingston, Ontario, Canada
JAMA Intern Med. 2015;175(9):1578. doi:10.1001/jamainternmed.2015.3135.
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