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

Mary Catherine Beach, Somnath (Som) Saha, Philip (Todd) Korthuis, Victoria Sharp, Jonathon Cohn, Ira Wilson, Susan Eggly, Lisa A. Cooper, Debra Roter, Andrea Sankar, Richard Moore

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Background: 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. Objective: To explore differences in patient-provider communication for English-speaking, HIV-infected Hispanic and non-Hispanic white patients. Design: Cross-sectional analysis. Setting: Two HIV care sites in the United States (New York and Portland) participating in the Enhancing Communication and HIV Outcomes (ECHO) study. Subjects: Nineteen HIV providers and 113 of their patients. Measurements: Patient interviews, provider questionnaires, and audio-recorded, routine, patient-provider encounters coded with the Roter Interaction Analysis System (RIAS). Results: 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∈

Original languageEnglish (US)
Pages (from-to)682-687
Number of pages6
JournalJournal of General Internal Medicine
Volume25
Issue number7
DOIs
StatePublished - Jul 2010

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Hispanic Americans
Communication
HIV
Quality of Health Care
Health Personnel
Acquired Immunodeficiency Syndrome
Cross-Sectional Studies
Outcome Assessment (Health Care)
Interviews

Keywords

  • health disparities
  • HIV/AIDS
  • patient-physician communication
  • patient-physician relations

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Differences in patient-provider communication for hispanic compared to non-hispanic white patients in HIV care. / Beach, Mary Catherine; Saha, Somnath (Som); Korthuis, Philip (Todd); Sharp, Victoria; Cohn, Jonathon; Wilson, Ira; Eggly, Susan; Cooper, Lisa A.; Roter, Debra; Sankar, Andrea; Moore, Richard.

In: Journal of General Internal Medicine, Vol. 25, No. 7, 07.2010, p. 682-687.

Research output: Contribution to journalArticle

Beach, Mary Catherine ; Saha, Somnath (Som) ; Korthuis, Philip (Todd) ; Sharp, Victoria ; Cohn, Jonathon ; Wilson, Ira ; Eggly, Susan ; Cooper, Lisa A. ; Roter, Debra ; Sankar, Andrea ; Moore, Richard. / Differences in patient-provider communication for hispanic compared to non-hispanic white patients in HIV care. In: Journal of General Internal Medicine. 2010 ; Vol. 25, No. 7. pp. 682-687.
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