Communicating with diverse patients: How patient and clinician factors affect disparities

Patient Education and Counseling
Eliseo J Pérez-Stable, Sherine El-Toukhy

Abstract

Patient-clinician communication (PCC) may generate or reduce healthcare disparities. This paper is based on the 2017 International Conference on Communication in Healthcare keynote address and reviews PCC literature as a research area for the National Institute on Minority Health and Health Disparities (NIMHD). A narrative review of selected evidence on disparities in PCC experienced by race and ethnic minorities, associations between PCC and poor health outcomes, and patient and clinician factors related to PCC. Factors associated with poor quality PCC on the patient level include being a member of racial/ethnic minority, having limited English proficiency, and low health and digital literacy; on the clinician level, being less culturally competent, lacking communication skills to facilitate shared decision-making, and holding unconscious biases. Recommendations include offering patient- and/or clinician-targeted interventions to guard against unconscious biases and improve PCC, screening patients for health literacy and English proficiency, integrating PCC in performance processes, and leveraging health information technologies to address unconscious biases. EffectivePCC is a pathway to decrease health disparities and promote...Continue Reading

References

May 16, 1996·The New England Journal of Medicine·M KomaromyA B Bindman
Jul 1, 1997·Medical Decision Making : an International Journal of the Society for Medical Decision Making·R L Street, B Voigt
Aug 24, 1999·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·L A FogartyM R Somerfield
Oct 16, 1999·The New England Journal of Medicine·P B BachC B Begg
Aug 11, 2000·American Journal of Public Health·C P Jones
Jul 23, 2002·JAMA : the Journal of the American Medical Association·Dean SchillingerAndrew B Bindman
Dec 21, 2002·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Susan L FurthNeil R Powe
Dec 4, 2003·Annals of Internal Medicine·Lisa A CooperNeil R Powe
Dec 1, 2004·American Journal of Public Health·Rachel L JohnsonLisa A Cooper
Dec 22, 2004·Journal of General Internal Medicine·Darren A DewaltMichael P Pignone
Mar 22, 2005·Medical Care·Mary Catherine BeachLisa A Cooper
Dec 15, 2005·JAMA : the Journal of the American Medical Association·Paula A BravemanSamuel Posner
Aug 3, 2006·Journal of General Internal Medicine·Rebecca L SudoreDean Schillinger
Aug 3, 2006·Journal of General Internal Medicine·David W Baker
Jan 3, 2008·JAMA : the Journal of the American Medical Association·Mark J PletcherRalph Gonzales
Apr 5, 2008·Patient Education and Counseling·Gary L Kreps, Lisa Sparks
Apr 17, 2008·Archives of Internal Medicine·Sue E KimCelia P Kaplan
Jul 12, 2008·Journal of General Internal Medicine·Leah S KarlinerEliseo J Pérez-Stable
Jan 20, 2009·Patient Education and Counseling·Richard L StreetRonald M Epstein
Mar 3, 2009·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jennifer E DeVoeGeorge E Fryer
May 16, 2009·Patient Education and Counseling·Rebecca L SudoreDean Schillinger
Jul 7, 2009·Journal of General Internal Medicine·Monica E PeekMarshall H Chin
Jul 9, 2009·Medical Care·Kelly B Haskard Zolnierek, M Robin Dimatteo
Dec 3, 2009·Ethnicity & Health·Leiyu ShiJenna Tsai
Apr 1, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Joseph R Betancourt, Alexander R Green
Jun 17, 2010·JAMA : the Journal of the American Medical Association·Samuel CykertAudrina Jones Bunton
Feb 22, 2011·Journal of General Internal Medicine·Yael SchenkerLeah S Karliner
Jan 17, 2012·Patient Education and Counseling·Sabrina T WongCelia P Kaplan
Apr 25, 2012·Journal of General Internal Medicine·Mary LindholmGeorge Reed
May 24, 2012·Journal of General Internal Medicine·Glyn ElwynMichael Barry
Nov 5, 2014·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Stacy C BaileyMichael S Wolf
Nov 19, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Nynikka R A PalmerKathryn E Weaver

❮ Previous
Next ❯

Citations

Jan 31, 2019·American Journal of Public Health·Nancy BreenXinzhi Zhang
Feb 13, 2020·Focus : Journal of Life Long Learning in Psychiatry
Oct 3, 2019·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·K Casey Lion, Lisa Ross DeCamp
Oct 17, 2020·Journal of Patient Experience·Mohammed Senitan, James Gillespie
Jan 16, 2021·Pediatric Research·Alex R Kemper, Rebecca G Wallihan
Dec 31, 2020·International Journal of Environmental Research and Public Health·Adèle PerrinJulie Haesebaert
Mar 6, 2021·Current Heart Failure Reports·Hunter MwansaKhadijah Breathett
Jun 4, 2021·Nature Reviews. Cardiology·Utibe R EssienJared W Magnani
Jun 17, 2021·Patient Education and Counseling·Mary C BarksMonica E Lemmon
Jan 13, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Grace R LeuEmily F Boss
Nov 11, 2021·Journal of the American Geriatrics Society·Sarah NouriRebecca L Sudore
Dec 7, 2021·Diabetes Spectrum : a Publication of the American Diabetes Association·Molly Finnan, Shivani Agarwal

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.