{
  "abstract": "ObjectivesContemporary oncology has achieved remarkable advances in biomedical treatment while increasingly emphasizing patient-centered care. Nevertheless, routine oncology consultations must address multiple competing clinical priorities, potentially limiting opportunities for patients experiences to become visible. To address this gap, we established a Dialogue-Based Outpatient Clinic, a complementary patient-directed consultation model embedded within routine oncology care. This study explored the dimensions of patients experiences that became visible through this consultation model.\n\nMethodsWe conducted a qualitative study of 44 consecutive patients who attended a Dialogue-Based Outpatient Clinic embedded within routine oncology care between 2021 and 2023. Patients attended the clinic either on their own initiative or following a recommendation from a healthcare professional who recognized that they were struggling. Regardless of how they came to the clinic, patients independently determined the consultation agenda.\n\nResultsOf the 44 patients, 13 (29.5%) sought biomedical information regarding diagnosis, treatment, or adverse effects, whereas 31 (70.5%) discussed concerns extending beyond biomedical issues. Reflexive thematic analysis of these 31 patients identified four interconnected themes: (1) making sense of a cancer diagnosis within ones own life; (2) negotiating treatment in relation to personal values and life priorities; (3) being treated for disease but not seen as a person; and (4) reconstructing life and identity through the cancer journey. Across all themes, patient-directed dialogue consistently revealed how patients understood cancer within the broader context of their lives rather than as an isolated biomedical condition.\n\nConclusionsPatient-directed dialogue within routine oncology care revealed dimensions of patients experiences that may be less readily recognized in conventional consultations. A complementary consultation model that allows patients to determine the agenda may provide opportunities for these experiences to become clinically recognizable.\n\nPractice implications: Integrating patient-directed consultations into routine oncology care may provide clinicians with opportunities to recognize and address patients concerns that might otherwise remain outside the usual consultation agenda.",
  "abstract_shown": true,
  "affiliations": [
    "Osaka Saiseikai Nakatsu Hospital"
  ],
  "article_type": "PUBLISHAHEADOFPRINT",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "K. Yoshimura"
    },
    {
      "name": "S. Fujioka"
    },
    {
      "name": "P. M. Lewis"
    },
    {
      "name": "M. Hirata"
    },
    {
      "name": "M. Tani"
    },
    {
      "name": "K. Akazawa"
    },
    {
      "name": "N. Kohno"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0nnr8ngj76trq.bib",
  "cited_by": 0,
  "doi": "10.64898/2026.10.01.26364357",
  "fulltext_url": "https://www.medrxiv.org/content/10.64898/2026.10.01.26364357v1.full",
  "id": "0nnr8ngj76trq",
  "issns": [],
  "landing_url": "https://www.medrxiv.org/content/10.64898/2026.10.01.26364357v1",
  "language": null,
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "medrxiv",
      "oncology"
    ],
    [
      "openalex",
      "3600|Patient-Provider Communication in Healthcare"
    ]
  ],
  "openalex": "W7220739765",
  "pdf_url": "https://www.medrxiv.org/content/10.64898/2026.10.01.26364357v1.full.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/0nnr8ngj76trq.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:11Z",
      "native_id": "10.64898/2026.10.01.26364357",
      "source": "medrxiv",
      "url": "https://www.medrxiv.org/content/10.64898/2026.10.01.26364357v1"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "medrxiv:oncology",
      "subfield": "oncology"
    }
  ],
  "title": "Patients' Experiences in a Dialogue-Based Outpatient Clinic Embedded Within Routine Oncology Care",
  "title_text": "Patients' Experiences in a Dialogue-Based Outpatient Clinic Embedded Within Routine Oncology Care",
  "type": "preprint",
  "updated_at": "2026-10-30T12:20:11Z",
  "url": "https://research.draconitic.com/paper/0nnr8ngj76trq",
  "venue": "medRxiv",
  "versions": []
}