January 30, 2014
This article was reported by Medical Xpress.
Medical Xpress reported on a study of communication and compliance between patients of different races and ethnicity and healthcare providers. M. Barton Laws, assistant professor of health services policy and practice in the Brown University School of Public Health, and colleagues analyzed recorded office visits between 45 healthcare providers and 404 patients, including 245 black and 59 Hispanic individuals. Researchers used the Generalized Medical Interaction Analysis, which separates the dialogue into speech-based units called "utterances" and classifies each utterance's topic or subject matter.
Results showed that black patients spoke less to providers and their interaction had more provider dominance. Providers asked Hispanics fewer open-ended questions. Also, providers' dialogue was more about adherence with minorities than with white patients, regardless of patient adherence history. Doctors issued more directives to minorities than to whites and did not discuss more problem-solving options than for whites.
The full report, "Provider-Patient Communication About Adherence to Anti-retroviral Regimens Differs by Patient Race and Ethnicity," was published online in the journal AIDS and Behavior (2014; doi: 10.1007/s10461-014-0697-z).
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