|
 |
|
|||||||
|
|||||||||
© 2004 American Public Health Association
RESEARCH AND PRACTICE |
At the time of the study, all the authors were with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Additionally, Neil R. Powe and Lisa A. Cooper are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, the Department of Medicine, Johns Hopkins School of Medicine, and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University.
Correspondence: Requests for reprints should be sent to Lisa A. Cooper, MD, MPH, Associate Professor of Medicine, Epidemiology and Health Policy and Management, Johns Hopkins University School of Medicine, 2024 E Monument St, Ste 2-500, Baltimore, MD 21205–2223 (e-mail: lisa.cooper{at}jhmi.edu).
Objectives. We examined the association between patient race/ethnicity and patient–physician communication during medical visits.
Methods. We used audiotape and questionnaire data collected in 1998 and 2002 to determine whether the quality of medical-visit communication differs among African American versus White patients. We analyzed data from 458 African American and White patients who visited 61 physicians in the Baltimore, Md–Washington, DC–Northern Virginia metropolitan area. Outcome measures that assessed the communication process, patient-centeredness, and emotional tone (affect) of the medical visit were derived from audiotapes coded by independent raters.
Results. Physicians were 23% more verbally dominant and engaged in 33% less patient-centered communication with African American patients than with White patients. Furthermore, both African American patients and their physicians exhibited lower levels of positive affect than White patients and their physicians did.
Conclusions. Patient–physician communication during medical visits differs among African American versus White patients. Interventions that increase physicians’ patient-centeredness and awareness of affective cues with African Americans patients and that activate African American patients to participate in their health care are important strategies for addressing racial/ethnic disparities in health care.
This article has been cited by other articles:
|
|
 |
|
  D. C. ANG, N. TAHIR, H. HANIF, Y. TONG, and S. A. IBRAHIM African Americans and Whites Are Equally Appropriate to be Considered for Total Joint Arthroplasty J Rheumatol, September 1, 2009; 36(9): 1971 - 1976. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Doubeni, A. O. Laiyemo, G. Reed, T. S. Field, and R. H. Fletcher Socioeconomic and Racial Patterns of Colorectal Cancer Screening among Medicare Enrollees in 2000 to 2005 Cancer Epidemiol. Biomarkers Prev., August 1, 2009; 18(8): 2170 - 2175. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. R. DiMatteo, C. B. Murray, and S. L. Williams Gender Disparities in Physician-Patient Communication Among African American Patients in Primary Care Journal of Black Psychology, May 1, 2009; 35(2): 204 - 227. [Abstract] [PDF]
|
|
|
|
 |
|
 G. E. Wyatt, J. K. Williams, T. Henderson, and L. Sumner On the Outside Looking In: Promoting HIV/AIDS Research Initiated by African American Investigators Am J Public Health, April 1, 2009; 99(S1): S48 - S53. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. A. Cooper A 41-Year-Old African American Man With Poorly Controlled Hypertension: Review of Patient and Physician Factors Related to Hypertension Treatment Adherence JAMA, March 25, 2009; 301(12): 1260 - 1272. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. M. Shelley, A. L. Sussman, R. L. Williams, A. R. Segal, B. F. Crabtree, and on behalf of the Rios Net Clinicians 'They Don't Ask Me So I Don't Tell Them': Patient-Clinician Communication About Traditional, Complementary, and Alternative Medicine Ann. Fam. Med, March 1, 2009; 7(2): 139 - 147. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Olfson, D. K. Cherry, and R. Lewis-Fernandez Racial Differences in Visit Duration of Outpatient Psychiatric Visits Arch Gen Psychiatry, February 1, 2009; 66(2): 214 - 221. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. R. Wheatley, M. A. Kelley, N. Peacock, and J. Delgado Women's Narratives on Quality in Prenatal Care: A Multicultural Perspective Qual Health Res, November 1, 2008; 18(11): 1586 - 1598. [Abstract] [PDF]
|
|
|
|
 |
|
 D. X. Vo and M. J. Park Racial/Ethnic Disparities and Culturally Competent Health Care Among Youth and Young Men American Journal of Men's Health, June 1, 2008; 2(2): 192 - 205. [Abstract] [PDF]
|
|
|
|
|
|
R. L. Street Jr, K. J. O'Malley, L. A. Cooper, and P. Haidet Understanding Concordance in Patient-Physician Relationships: Personal and Ethnic Dimensions of Shared Identity Ann. Fam. Med, May 1, 2008; 6(3): 198 - 205. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Gaskin and K. D. Frick Race and Ethnic Disparities in Valuing Health Med Decis Making, January 1, 2008; 28(1): 12 - 20. [Abstract] [PDF]
|
|
|
|
 |
|
 G. B. Diette and C. Rand The Contributing Role of Health-Care Communication to Health Disparities for Minority Patients With Asthma Chest, November 1, 2007; 132(5_suppl): 802S - 809S. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Davis, L. M. Vinci, T. M. Okwuosa, A. R. Chase, and E. S. Huang Cardiovascular Health Disparities: A Systematic Review of Health Care Interventions Med Care Res Rev, October 1, 2007; 64(5_suppl): 29S - 100S. [Abstract] [PDF]
|
|
|
|
|
|
M. E. Peek, A. Cargill, and E. S. Huang Diabetes Health Disparities: A Systematic Review of Health Care Interventions Med Care Res Rev, October 1, 2007; 64(5_suppl): 101S - 156S. [Abstract] [PDF]
|
|
|
|
 |
|
 C. M. Tucker, L. A. Ferdinand, A. Mirsu-Paun, K. C. Herman, E. Delgado-Romero, J. J. van den Berg, and J. D. Jones The Roles of Counseling Psychologists in Reducing Health Disparities The Counseling Psychologist, September 1, 2007; 35(5): 650 - 678. [Abstract] [PDF]
|
|
|
|
|
|
A. Basu and D. Meltzer Value of Information on Preference Heterogeneity and Individualized Care Med Decis Making, March 1, 2007; 27(2): 112 - 127. [Abstract] [PDF]
|
|
|
|
|
|
A. M. Kilbourne, G. Switzer, K. Hyman, M. Crowley-Matoka, and M. J. Fine Advancing Health Disparities Research Within the Health Care System: A Conceptual Framework Am J Public Health, December 1, 2006; 96(12): 2113 - 2121. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. H. Liu, D. S. Zingmond, M. L. McGory, N. F. SooHoo, S. L. Ettner, R. H. Brook, and C. Y. Ko Disparities in the utilization of high-volume hospitals for complex surgery. JAMA, October 25, 2006; 296(16): 1973 - 1980. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. H. Thom and M. D. Tirado Development and Validation of a Patient-Reported Measure of Physician Cultural Competency Med Care Res Rev, October 1, 2006; 63(5): 636 - 655. [Abstract] [PDF]
|
|
|
|
|
|
I. Bennett, J. Switzer, A. Aguirre, K. Evans, and F. Barg 'Breaking It Down': Patient-Clinician Communication and Prenatal Care Among African American Women of Low and Higher Literacy Ann. Fam. Med, July 1, 2006; 4(4): 334 - 340. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Armstrong, C. Hughes-Halbert, and D. A. Asch Patient preferences can be misleading as explanations for racial disparities in health care. Arch Intern Med, May 8, 2006; 166(9): 950 - 954. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. M. Asch, E. A. Kerr, J. Keesey, J. L. Adams, C. M. Setodji, S. Malik, and E. A. McGlynn Who is at greatest risk for receiving poor-quality health care? N. Engl. J. Med., March 16, 2006; 354(11): 1147 - 1156. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. S. Gordon, R. L. Street Jr, B. F. Sharf, P. A. Kelly, and J. Souchek Racial Differences in Trust and Lung Cancer Patients' Perceptions of Physician Communication J. Clin. Oncol., February 20, 2006; 24(6): 904 - 909. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Cegala and D. M. Post On Addressing Racial and Ethnic Health Disparities: The Potential Role of Patient Communication Skills Interventions American Behavioral Scientist, February 1, 2006; 49(6): 853 - 867. [Abstract] [PDF]
|
|
|
|
 |
|
 T. S. Field, D. S. M. Buist, C. Doubeni, S. Enger, H. Fouayzi, G. Hart, E. J. Korner, L. Lamerato, D. J. Bachman, J. Ellis, et al. Disparities and Survival Among Breast Cancer Patients J Natl Cancer Inst Monographs, November 1, 2005; 2005(35): 88 - 95. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |