Mar 20, 2010

Differences in patient-provider communication for Hispanic compared to non-Hispanic white patients in HIV care

Journal of General Internal Medicine
Mary Catherine BeachRichard D Moore

Abstract

Hispanic Americans with HIV/AIDS experience lower quality care and worse outcomes than non-Hispanic whites. While deficits in patient-provider communication may contribute to these disparities, no studies to date have used audio recordings to examine the communication patterns of Hispanic vs. non-Hispanic white patients with their health care providers. To explore differences in patient-provider communication for English-speaking, HIV-infected Hispanic and non-Hispanic white patients. Cross-sectional analysis. Two HIV care sites in the United States (New York and Portland) participating in the Enhancing Communication and HIV Outcomes (ECHO) study. Nineteen HIV providers and 113 of their patients. Patient interviews, provider questionnaires, and audio-recorded, routine, patient-provider encounters coded with the Roter Interaction Analysis System (RIAS). Providers were mostly non-Hispanic white (68%) and female (63%). Patients were Hispanic (51%), and non-Hispanic white (49%); 20% were female. Visits with Hispanic patients were less patient-centered (0.75 vs. 0.90, p = 0.009), with less psychosocial talk (80 vs. 118 statements, p < 0.001). This pattern was consistent among Hispanics who spoke English very well and those with less...Continue Reading

  • References17
  • Citations40

Citations

Mentioned in this Paper

Prevalence Studies
Physician-Patient Relations
HIV Infections
European Continental Ancestry Group
Roter
Latinas
Informal Care
HIV-infection/Aids
Transcultural Studies

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