Patient-provider communication differs for black compared to white HIV-infected patients.
Poor patient-provider interactions may play a role in explaining racial disparities in the quality and outcomes of HIV care in the United States. We analyzed 354 patient-provider encounters coded with the Roter Interaction Analysis System across four HIV care sites in the United States to explore possible racial differences in patient-provider communication. Providers were more verbally dominant in conversations with black as compared to white patients. This was largely due to black patients' talking less than white patients. There was no association between race and other measures of communication. Black and white patients rated their providers' communication similarly. Efforts to more effectively engage patients in the medical dialogue may lead to improved patient-provider relationships, self-management, and outcomes among black people living with HIV/AIDS.
Beach
Mary Catherine
MC
Johns Hopkins University Schools of Medicine and Public Health, Baltimore, MD, USA. mcbeach@jhmi.edu
Saha
Somnath
S
Korthuis
P Todd
PT
Sharp
Victoria
V
Cohn
Jonathon
J
Wilson
Ira B
IB
Eggly
Susan
S
Cooper
Lisa A
LA
Roter
Debra
D
Sankar
Andrea
A
Moore
Richard
R
D000328:Adult; D044383:Black People / Q000523:psychology*; D003142:Communication; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D014481:United States; D044465:White People / Q000523:psychology*; D001741:Black or African American