How does patient-centered communication influence patient trust?: The roles of patient participation and patient preference

Objective: The aim of this study was to examine the effects of patient-centered communication, patient participation, and patient preference on patient trust in the context of China. Methods: A cross-sectional survey was conducted involving 217 cancer patients in China. Mediation and moderation analyses were performed to examine the relationships among the study variables. Results: First, patient-centered communication increased patient participation in decision-making, which, in turn, enhanced patient trust. Second, patient-centered communication did not have a direct effect on patient trust. Third, patient preference for a passive role in decision-making weakened the relationship between patient participation and patient trust. Conclusion: The results underscore the significant effect of facilitating patient participation in linking patientcentered communication to patient trust. However, medical communication should also respond to patients' preferred roles in the decision-making process. Practice implications: Doctors should provide patients with opportunities to ask questions and express their concerns. In addition, they should evaluate patients' preferred degree of involvement before inviting them to contribute so as to respect their preferences and values.