Race, healthcare access and physician trust among prostate cancer patients.
OBJECTIVE
To study the effect of healthcare access and other characteristics on physician trust among black and white prostate cancer patients.


METHODS
A three-timepoint follow-up telephone survey after cancer diagnosis was conducted. This study analyzed data on 474 patients and their 1,320 interviews over three time periods.


RESULTS
Among other subpopulations, black patients who delayed seeking care had physician trust levels that were far lower than that of both Caucasians as well as that of the black patients overall. Black patients had greater variability in their levels of physician trust compared to their white counterparts.


CONCLUSIONS
Both race and access are important in explaining overall lower levels and greater variability in physician trust among black prostate cancer patients. Access barriers among black patients may spill over to the clinical encounter in the form of less physician trust, potentially contributing to racial disparities in treatment received and subsequent outcomes. Policy efforts to address the racial disparities in prostate cancer should prioritize improving healthcare access among minority groups.
Department of Health Policy and Management, University of North Carolina, Gillings School of Global Public Health, Chapel Hill, NC 27599-7411, USA.
Young Kyung
YK
Do
William R
WR
Carpenter
Pamela
P
Spain
Jack A
JA
Clark
Robert J
RJ
Hamilton
Joseph A
JA
Galanko
Anne
A
Jackman
James A
JA
Talcott
Paul A
PA
Godley
D001741:Black or African American / Q000523:psychology; D000368:Aged; D055088:Early Detection of Cancer / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054624:Health Status Disparities; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D011471:Prostatic Neoplasms / Q000208:ethnology / Q000523:psychology*; D011594:Psychometrics; D012959:Socioeconomic Factors; D035502:Trust; D044465:White People / Q000523:psychology