Patient race/ethnicity and quality of patient-physician communication during medical visits.
OBJECTIVE
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.
Johnson
Rachel L
RL
Epidemiology and Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205-2223, USA.
Roter
Debra
D
Powe
Neil R
NR
Cooper
Lisa A
LA
D000339:Affect; D001741:Black or African American; D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D010817:Physician-Patient Relations; D011320:Primary Health Care; D044465:White People