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An unequal burden: poor patient-provider communication and sickle cell disease.

Publication ,  Journal Article
Haywood, C; Bediako, S; Lanzkron, S; Diener-West, M; Strouse, J; Haythornthwaite, J; Onojobi, G; Beach, MC; IMPORT Investigators
Published in: Patient education and counseling
August 2014

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.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.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.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.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.

Duke Scholars

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Published In

Patient education and counseling

DOI

EISSN

1873-5134

ISSN

0738-3991

Publication Date

August 2014

Volume

96

Issue

2

Start / End Page

159 / 164

Related Subject Headings

  • Young Adult
  • Quality of Health Care
  • Public Health
  • Prevalence
  • Physician-Patient Relations
  • Middle Aged
  • Male
  • Humans
  • Healthcare Disparities
  • Female
 

Citation

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Chicago
ICMJE
MLA
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Haywood, C., Bediako, S., Lanzkron, S., Diener-West, M., Strouse, J., Haythornthwaite, J., … IMPORT Investigators. (2014). An unequal burden: poor patient-provider communication and sickle cell disease. Patient Education and Counseling, 96(2), 159–164. https://doi.org/10.1016/j.pec.2014.05.013
Haywood, Carlton, Shawn Bediako, Sophie Lanzkron, Marie Diener-West, John Strouse, Jennifer Haythornthwaite, Gladys Onojobi, Mary Catherine Beach, and IMPORT Investigators. “An unequal burden: poor patient-provider communication and sickle cell disease.Patient Education and Counseling 96, no. 2 (August 2014): 159–64. https://doi.org/10.1016/j.pec.2014.05.013.
Haywood C, Bediako S, Lanzkron S, Diener-West M, Strouse J, Haythornthwaite J, et al. An unequal burden: poor patient-provider communication and sickle cell disease. Patient education and counseling. 2014 Aug;96(2):159–64.
Haywood, Carlton, et al. “An unequal burden: poor patient-provider communication and sickle cell disease.Patient Education and Counseling, vol. 96, no. 2, Aug. 2014, pp. 159–64. Epmc, doi:10.1016/j.pec.2014.05.013.
Haywood C, Bediako S, Lanzkron S, Diener-West M, Strouse J, Haythornthwaite J, Onojobi G, Beach MC, IMPORT Investigators. An unequal burden: poor patient-provider communication and sickle cell disease. Patient education and counseling. 2014 Aug;96(2):159–164.
Journal cover image

Published In

Patient education and counseling

DOI

EISSN

1873-5134

ISSN

0738-3991

Publication Date

August 2014

Volume

96

Issue

2

Start / End Page

159 / 164

Related Subject Headings

  • Young Adult
  • Quality of Health Care
  • Public Health
  • Prevalence
  • Physician-Patient Relations
  • Middle Aged
  • Male
  • Humans
  • Healthcare Disparities
  • Female