Johns Hopkins University Schools of Medicine and Public Health, Baltimore, MD, USA.
AIDS Behav. 2011 May;15(4):805-11. doi: 10.1007/s10461-009-9664-5.
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.
医患互动不佳可能是导致美国 HIV 护理质量和结果存在种族差异的一个原因。我们分析了美国四个 HIV 护理点使用 Roter 互动分析系统编码的 354 次医患互动，以探讨医患沟通中可能存在的种族差异。与白人患者相比，医生在与黑人患者的交谈中更具主导性。这主要是因为黑人患者比白人患者的话语更少。种族与其他沟通衡量标准之间没有关联。黑人和白人患者对其提供者的沟通评价相似。努力让患者更有效地参与到医疗对话中，可能会改善与 HIV/AIDS 共存的黑人患者的医患关系、自我管理和结果。
