# Doctors should choose communication strategies based on the patient's attitude toward disease and healthcare workers: a study in Jiangsu, China

**Authors:** Fangjing Zheng, Aicui Lin

PMC · DOI: 10.3389/frhs.2025.1520628 · Frontiers in Health Services · 2025-07-03

## TL;DR

This study in Jiangsu, China, explores how patients' attitudes toward disease and healthcare vary based on factors like age and education to help doctors improve communication.

## Contribution

The study identifies how patient characteristics influence communication preferences and cure expectations for healthcare workers.

## Key findings

- Higher education and economic development correlate with lower belief in diseases being definitely curable.
- Younger patients and outpatients are more cooperative but often lack knowledge on how to participate in treatment.
- Communication strategies should be tailored to patient demographics to avoid misunderstandings.

## Abstract

We aimed to determine patients’ expectations regarding curing their disease and potential communication preferences with healthcare providers, by analyzing factors such as education level, age, type of medical visit, and residential region, so as to assist healthcare workers in managing communication more effectively.

A sampling survey was conducted involving 1,155 patients across nine public tertiary hospitals in Jiangsu Province, China. The survey questionnaire results were verified and organized, after which chi-square tests and Z-tests were conducted to analyze the responses to each question across different groups.

Among the educated population, the proportion of patients who believe that diseases can definitely be cured tends to decrease as the level of educational increases. Similarly, this proportion also tends to decrease with an increase in economic development across different regions. The proportion of patients who believe that they should fulfill their obligations during the treatment process but lacked understanding of how to do so also exhibits a similar trend. Adults under the age of 50, as well as outpatient and emergency patients, are more willing to cooperate with medical treatment, but often lack knowledge about how to do so.

Healthcare workers should select communication strategy that are suitable for patients considering their age, education, type of medical visit, and residential region and provide appropriate cure expectations to prevent communication issues.

## Full-text entities

- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

26 references — full list in the complete paper: https://tomesphere.com/paper/PMC12267278/full.md

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Source: https://tomesphere.com/paper/PMC12267278