An unequal burden: poor patient-provider communication and sickle cell disease.
Journal Article (Journal Article;Multicenter Study)
OBJECTIVE: To assess disparities in the quality of healthcare provider communication experienced by African-American adults with and without sickle cell disease (SCD) in the U.S. METHODS: Poor provider communication was assessed by the Provider Communication subscale of the Consumer Assessment of Healthcare Plans and Systems survey. The SCD sample was obtained from participants in a multicenter observational study of healthcare experiences. The national African-American sample data was obtained from published national estimates. RESULTS: The SCD sample was more likely than the national sample to report poor communication in 3 out of 4 communication domains: listening (22.3% vs. 11.5%, p<0.0001); showing respect (26.1% vs. 9.5%, p<0.0001); and spending enough time (38.3% vs. 16.2%, p<0.0001). Differences were consistent in young, but not old, patients and showed some variation by self-reported health status and education. CONCLUSIONS: The communication difficulties experienced by persons with SCD do not appear reducible to their predominantly African-American race, but may result from more disease-specific factors. PRACTICE IMPLICATIONS: Healthcare providers should take particular care in recognizing and demonstrating recommended communication skills with SCD patients as these patients may be particularly vulnerable to, and cognizant of, poor quality interactions.
Full Text
Duke Authors
Cited Authors
- Haywood, C; Bediako, S; Lanzkron, S; Diener-West, M; Strouse, J; Haythornthwaite, J; Onojobi, G; Beach, MC; IMPORT Investigators,
Published Date
- August 2014
Published In
Volume / Issue
- 96 / 2
Start / End Page
- 159 - 164
PubMed ID
- 24935607
Pubmed Central ID
- PMC4115582
Electronic International Standard Serial Number (EISSN)
- 1873-5134
Digital Object Identifier (DOI)
- 10.1016/j.pec.2014.05.013
Language
- eng
Conference Location
- Ireland