title: When providers and patients come from different backgrounds: perceived value of additional training on ethical care practices.
abstract: Fostering the therapeutic alliance, safeguarding confidentiality, gaining informed consent, and enhancing treatment adherence are critical aspects of patient care. We examined whether multidisciplinary health care providers perceive additional training on these areas as helpful in their work with patients from different ethnic backgrounds than the provider. Data are drawn from a National Institute on Drug Abuse-funded survey of 1555 providers in 8 disciplines in New Mexico and Alaska. Clinicians viewed additional training as moderately helpful for ensuring treatment adherence, establishing the therapeutic alliance, safeguarding confidentiality, and engaging in informed consent processes, in that order. Women were more receptive than men to additional training. Modest differences were detected between behavioral and physical health providers and between minority and majority providers. Implications of providers' only modest interest in such training are discussed.
authors.affiliation: Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA. RobertsL@mcw.edu
authors.forename: Laura Weiss
authors.initials: LW
authors.lastname: Roberts
authors.forename: Mark E
authors.initials: ME
authors.lastname: Johnson
authors.forename: Christiane
authors.initials: C
authors.lastname: Brems
authors.forename: Teddy D
authors.initials: TD
authors.lastname: Warner
mesh_terms: D000413:Alaska; D001291:Attitude of Health Personnel; D003219:Confidentiality / Q000941:ethics / Q000523:psychology; D054521:Cultural Competency / Q000941:ethics*; D018864:Cultural Diversity; D003479:Curriculum; D003625:Data Collection; D004502:Education, Medical, Continuing; D004992:Ethics, Medical / Q000193:education*; D005260:Female; D006801:Humans; D007258:Informed Consent / Q000941:ethics / Q000523:psychology; D008297:Male; D009516:New Mexico; D010348:Patient Care Team / Q000941:ethics*; D010349:Patient Compliance / Q000208:ethnology; D010817:Physician-Patient Relations / Q000941:ethics*; D011570:Psychiatry / Q000193:education* / Q000941:ethics