Minority Health Archive

Patient Race/Ethnicity and Quality of Patient–Physician Communication During Medical Visits

Johnson, Rachel L. and Roter, Debra and Powe, Neil R. and Cooper, Lisa A. (2004) Patient Race/Ethnicity and Quality of Patient–Physician Communication During Medical Visits. American Journal of Public Health, 94 (12). pp. 2084-2090. ISSN 0090-0036

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Objectives. We examined the association between patient race/ethnicity and patient–physician communication during medical visits. Methods. We used audiotape and questionnaire data collected in 1998 and 2002 to determine whether the quality of medical-visit communication differs among African American versus White patients. We analyzed data from 458 African American and White patients who visited 61 physicians in the Baltimore, Md–Washington, DC–Northern Virginia metropolitan area. Outcome measures that assessed the communication process, patient centeredness, and emotional tone (affect) of the medical visit were derived from audiotapes coded by independent raters. Results. Physicians were 23% more verbally dominant and engaged in 33% less patient-centered communication with African American patients than with White patients. Furthermore, both African American patients and their physicians exhibited lower levels of positive affect than White patients and their physicians did. Conclusions. Patient–physician communication during medical visits differs among African American versus White patients. Interventions that increase physicians’ patient centeredness and awareness of affective cues with African Americans patients and that activate African American patients to participate in their health care are important strategies for addressing racial/ethnic disparities in health care.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: race/ethnicity; patient–physician communication; patient-centeredness
Subjects: Health > Disparities
Research > studies
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Depositing User: Users 141 not found.
Date Deposited: 02 Oct 2008
Last Modified: 30 Jun 2011 10:14
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1028

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