title: Variation in patient-provider communication by patient's race and ethnicity, provider type, and continuity in and site of care: An analysis of data from the Connecticut Health Care Survey.
abstract: OBJECTIVE
  The purpose of this study is to examine the quality of patient-reported communication with their health care providers using data from a large, statewide survey of patients. We examine the relationship between patient's race and ethnicity, type of health care provider, site of and continuity in care, and the quality of patient-provider communication.
  
  
  METHODS
  We analyze data from the Connecticut Health Care Survey, a representative telephone survey of 4608 Connecticut residents conducted between June 2012 and February 2013. Eight measures of patient-provider communication were analyzed using weighted general linear and logistic regression models.
  
  
  RESULTS
  Patients' assessments of the quality of communication with their health care providers were generally positive. Hispanic patients, those who received care in a clinic or hospital setting, and those who did not consistently see the same provider reported significantly poorer communication with their providers.
  
  
  CONCLUSIONS
  Our data suggest that improving patient-provider communication for Hispanic patients may be a critical step in achieving health equity. However, increased access to health care delivered outside of physician offices where there may not be consistency in providers across encounters may pose challenges to effective health communication.
authors.affiliation: Division of Behavioral Sciences and Community Health, Center for Public Health and Health Policy, UConn Health, Farmington, CT, USA.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Aseltine
authors.affiliation: Aetna Foundation, Hartford, CT, USA.
authors.forename: Alyse
authors.initials: A
authors.lastname: Sabina
authors.affiliation: Aetna Foundation, Hartford, CT, USA.
authors.forename: Gillian
authors.initials: G
authors.lastname: Barclay
authors.affiliation: Aetna Foundation, Hartford, CT, USA.
authors.forename: Garth
authors.initials: G
authors.lastname: Graham
keywords: Patient–provider communication; health disparities; patient engagement; race and ethnicity
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