Determinants of Patient-Centered Communication, Its Impact On Quality of Services, Overall Health Status And Trust In The Healthcare System In The United States

Aim; Within the scope of this study, it is aimed to reveal the factors affecting the level of patient-centred communication of the participants through the data of American cancer patients, and to reveal the effect of patient-centred communication on health service quality, general health status and patients' trust in the health system. Method; This study was descriptive and cross-sectional. In the study population, t-tests and ANOVA tests were used. Multiple regression analyses were performed using the data obtained from 900 cancer patients who were research participants. Results; Patient-centred communication levels of cancer patients did not differ according to gender, occupation, family history of cancer, marital status and education variables, but PCC levels differed according to income variables. Patient-centred communication positively affects service quality, health status and trust in the health system. Conclusion; Patient-centred communication positively affects health outcomes. Patient-centered communication should be used effectively in healthcare. Various communication channels such as telephone, e-mail, mobile applications and online platforms should be offered to meet patients' needs. Likewise, surveys, comment boxes and digital feedback systems should be established to measure patient satisfaction and receive feedback