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AIDS and Behavior
Published in: AIDS and Behavior 4/2011

01-05-2011

Patient–Provider Communication Differs for Black Compared to White HIV-Infected Patients

Authors: Mary Catherine Beach, Somnath Saha, P. Todd Korthuis, Victoria Sharp, Jonathon Cohn, Ira B. Wilson, Susan Eggly, Lisa A. Cooper, Debra Roter, Andrea Sankar, Richard Moore

Published in: AIDS and Behavior | Issue 4/2011

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Abstract

Poor patient–provider interactions may play a role in explaining racial disparities in the quality and outcomes of HIV care in the United States. We analyzed 354 patient–provider encounters coded with the Roter Interaction Analysis System across four HIV care sites in the United States to explore possible racial differences in patient–provider communication. Providers were more verbally dominant in conversations with black as compared to white patients. This was largely due to black patients’ talking less than white patients. There was no association between race and other measures of communication. Black and white patients rated their providers’ communication similarly. Efforts to more effectively engage patients in the medical dialogue may lead to improved patient–provider relationships, self-management, and outcomes among black people living with HIV/AIDS.
Literature
1.
Moore RD, Stanton D, Gopalan R, Chaisson RE. Racial differences in the use of drug therapy for HIV disease in an urban community. N Engl J Med. 1994;330:763–8.PubMedCrossRef
2.
Asch SM, Gifford AL, Bozzette SA, et al. Underuse of primary Mycobacterium avium complex and Pneumocystis carinii prophylaxis in the United States. J Acquir Immune Defic Syndr. 2001;28:340–4.PubMed
3.
Kass N, Flynn C, Jacobson L, Chmiel JS, Bing EG. Effect of race on insurance coverage and health service use for HIV-infected gay men. J Acquir Immune Defic Syndr Hum Retrovirol. 1999;20:85–92.PubMedCrossRef
4.
Shapiro MF, Morton SC, McCaffrey DF, et al. Variations in the care of HIV-infected adults in the United States: results from the HIV Cost and Services Utilization Study. JAMA. 1999;281:2305–15.PubMedCrossRef
5.
Andersen R, Bozzette S, Shapiro M, et al. Access of vulnerable groups to antiretroviral therapy among persons in care for HIV disease in the United States. HCSUS Consortium. HIV Cost and Services Utilization Study. Health Serv Res. 2000;35:389–416.PubMed
6.
Solomon L, Stein M, Flynn C, et al. Health services use by urban women with or at risk for HIV-1 infection: the HIV Epidemiology Research Study (HERS). J Acquir Immune Defic Syndr Hum Retrovirol. 1998;17:253–61.PubMedCrossRef
7.
Graham NM, Jacobson LP, Kuo V, Chmiel JS, Morgenstern H, Zucconi SL. Access to therapy in the Multicenter AIDS Cohort Study, 1989–1992. J Clin Epidemiol. 1994;47:1003–12.PubMedCrossRef
8.
Smith SR, Kirking DM. Access and use of medications in HIV disease. Health Serv Res. 1999;34:123–44.PubMed
9.
Gebo KA, Fleishman JA, Conviser R, et al. Racial and gender disparities in receipt of highly active antiretroviral therapy persist in a multistate sample of HIV patients in 2001. J Acquir Immune Defic Syndr. 2005;38:96–103.PubMedCrossRef
10.
Palacio H, Kahn JG, Richards TA, Morin SF. Effect of race and/or ethnicity in use of antiretrovirals and prophylaxis for opportunistic infection: a review of the literature. Public Health Rep. 2002;117:233–51.PubMed
11.
McGinnis KA, Fine MJ, Sharma RK, et al. Understanding racial disparities in HIV using data from the veterans aging cohort 3-site study and VA administrative data. Am J Public Health. 2003;93:1728–33.PubMedCrossRef
12.
Wong MD, Shapiro MF, Boscardin WJ, Ettner SL. Contribution of major diseases to disparities in mortality. N Engl J Med. 2002;347:1585–92.PubMedCrossRef
13.
Committee on Understanding, Eliminating Racial, Ethnic Disparities in Health Care. Unequal treatment: confronting racial and ethnic disparities in care. Washington, DC: The National Academies Press; 2002.
14.
Anastos K, Schneider MF, Gange SJ, et al. The association of race, sociodemographic, and behavioral characteristics with response to highly active antiretroviral therapy in women. J Acquir Immune Defic Syndr. 2005;39:537–44.PubMed
15.
Saha S, Komaromy M, Koepsell TD, Bindman AB. Patient–physician racial concordance and the perceived quality and use of health care. Arch Intern Med. 1999;159:997–1004.PubMedCrossRef
16.
Cooper-Patrick L, Gallo JJ, Gonzales JJ, et al. Race, gender, and partnership in the patient–physician relationship. JAMA. 1999;282:583–9.PubMedCrossRef
17.
Saha S, Arbelaez JJ, Cooper LA. Patient–physician relationships and racial disparities in the quality of health care. Am J Public Health. 2003;93:1713–9.PubMedCrossRef
18.
Beach MC, Keruly J, Moore RD. Is the quality of the patient–provider relationship associated with better adherence and health outcomes for patients with HIV? J Gen Intern Med. 2006;21:661–5.PubMedCrossRef
19.
Bakken S, Holzemer WL, Brown MA, et al. Relationships between perception of engagement with health care provider and demographic characteristics, health status, and adherence to therapeutic regimen in persons with HIV/AIDS. AIDS Patient Care STDS. 2000;14:189–97.PubMedCrossRef
20.
King WD, Wong MD, Shapiro MF, Landon BE, Cunningham WE. Does racial concordance between HIV-positive patients and their physicians affect the time to receipt of protease inhibitors? J Gen Intern Med. 2004;19:1146–53.PubMedCrossRef
21.
Hooper EM, Comstock LM, Goodwin JM, Goodwin JS. Patient characteristics that influence physician behavior. Med Care. 1982;20:630–8.PubMedCrossRef
22.
Roter DL, Stewart M, Putnam SM, Lipkin M Jr, Stiles W, Inui TS. Communication patterns of primary care physicians. JAMA. 1997;277:350–6.PubMedCrossRef
23.
Johnson RL, Roter D, Powe NR, Cooper LA. Patient race/ethnicity and quality of patient–physician communication during medical visits. Am J Public Health. 2004;94:2084–90.PubMedCrossRef
24.
Oliver MN, Goodwin MA, Gotler RS, Gregory PM, Stange KC. Time use in clinical encounters: are African–American patients treated differently? J Natl Med Assoc. 2001;93:380–5.PubMed
25.
Kaplan SH, Gandek B, Greenfield S, Rogers W, Ware JE. Patient and visit characteristics related to physicians’ participatory decision-making style. Results from the Medical Outcomes Study. Med Care. 1995;33:1176–87.PubMedCrossRef
26.
Collins KS, Hughes DL, Doty MM, Ives BL, Edwards JN, Tenney K. Diverse communities, common concerns: assessing health care quality for minority Americans. New York: The Commonwealth Fund; 2002.
27.
Johnson RL, Saha S, Arbelaez JJ, Beach MC, Cooper LA. Racial and ethnic differences in patient perceptions of bias and cultural competence in health care. J Gen Intern Med. 2004;19:101–10.PubMedCrossRef
28.
Bertakis KD, Roter D, Putnam SM. The relationship of physician medical interview style to patient satisfaction. J Fam Pract. 1991;32:175–81.PubMed
29.
Levinson W, Roter DL, Mullooly JP, Dull VT, Frankel RM. Physician–patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA. 1997;277:553–9.PubMedCrossRef
30.
Roter DL. Patient participation in the patient–provider interaction: the effects of patient question asking on the quality of interaction, satisfaction and compliance. Health Educ Monogr. 1977;5:281–315.PubMed
31.
Wissow LS, Roter D, Bauman LJ, et al. Patient–provider communication during the emergency department care of children with asthma. The National Cooperative Inner-City Asthma Study, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, MD. Med Care. 1998;36:1439–50.PubMedCrossRef
32.
Roter DL, Hall JA, Katz NR. Relations between physicians’ behaviors and analogue patients’ satisfaction, recall, and impressions. Med Care. 1987;25:437–51.PubMedCrossRef
33.
Stewart AL, Napoles-Springer A, Perez-Stable EJ. Interpersonal processes of care in diverse populations. Milbank Q. 1999;77:305-39, 274.
34.
Greenfield S, Kaplan SH, Ware JE Jr. Expanding patient involvement in care. Effects on patient outcomes. Ann Intern Med. 1985;102:520–8.PubMed
35.
Kaplan SH, Greenfield S, Ware JE Jr. Assessing the effects of physician–patient interactions on the outcomes of chronic disease. Med Care. 1989;27:S110–27.PubMedCrossRef
36.
Cooper LA, Roter DL, Johnson RL, Ford DE, Steinwachs DM, Powe NR. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med. 2003;139:907–15.PubMed
37.
Pringle M, Stewart-Evans C. Does awareness of being video recorded affect doctors’ consultation behaviour? Br J Gen Pract. 1990;40:455–8.PubMed
38.
Wolraich ML, Albanese M, Stone G, et al. Medical communication behavior system. An interactional analysis system for medical interactions. Med Care. 1986;24:891–903.PubMedCrossRef
Metadata
Title
Patient–Provider Communication Differs for Black Compared to White HIV-Infected Patients
Authors
Mary Catherine Beach
Somnath Saha
P. Todd Korthuis
Victoria Sharp
Jonathon Cohn
Ira B. Wilson
Susan Eggly
Lisa A. Cooper
Debra Roter
Andrea Sankar
Richard Moore
Publication date
01-05-2011
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2011
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-009-9664-5

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