Abstract:
:Since publication of Unequal Treatment by the Institute of Medicine in 2003, there has been a growing recognition of the role of provider implicit racial bias in patient care. Provider implicit racial bias has been consistently negatively associated with both care satisfaction and provider trust among racial/ethnic minority patients. This suggests provider implicit racial bias likely manifests through their communication behaviors, which in turn may offer a means of addressing racial disparities in healthcare and ultimately in health. However, identifying provider communication behaviors that mediate the links between provider implicit racial bias and patient outcomes is challenging. In this paper, we argue that identifying these provider communication behaviors requires (1) taking into account findings from social psychology research of implicit racial bias and (2) incorporating the perspectives of racial/ethnic minority patients into patient-provider communication research. We discuss the utility of mixed methods research designs as a framework for resolving this complex scientific question. Research that draws on social psychology research of implicit racial bias and incorporates the racial/ethnic minority patient perspectives can inform the development of communication skills training programs for students and residents in various healthcare fields. Such programs are one element of a broader effort to reduce racial/ethnic disparities in healthcare.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Hagiwara N,Elston Lafata J,Mezuk B,Vrana SR,Fetters MDdoi
10.1016/j.pec.2019.04.023subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1738-1743issue
9eissn
0738-3991issn
1873-5134pii
S0738-3991(19)30142-9journal_volume
102pub_type
杂志文章abstract:OBJECTIVE:To explore if - and possibly how - a medical interview may affect adrenocortical activity in musculo-skeletal pain patients with and without alexithymia. METHODS:Female patients (N = 54) recruited from a patient organization for fibromyalgia completed the Toronto Alexithymia Scale (TAS-20) and subgroups with...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2005.03.005
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:To evaluate studies that examined the impact of interactive, computer-based education (ICBE) programs on patient education. METHODS:The Medline and CINAHL databases were searched to identify randomized controlled studies that evaluated the impact of ICBE programs. RESULTS:The 25 studies that met the selecti...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2009.02.011
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to describe older hospital patients' discharge experiences on participation in the discharge planning. METHODS:A sample of 254 patients aged 80+ was interviewed using a questionnaire developed by the research team. Data were collected by face-to-face interviewing during the firs...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pec.2010.08.025
更新日期:2011-10-01 00:00:00
abstract::Although 'patient-centred' consulting skills are increasingly seen as crucial for the delivery of effective primary care, there is significant lack of clarity over the precise definition of the term, optimal methods of measurement, and the relationship between patient-centred care and patient outcomes. The present stu...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/s0738-3991(02)00099-x
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:To assess whether the practice and rehearsal of communication skills is likely to lead to better outcomes following training, and whether the use of simulated patients in training is likely to be superior to role-play in terms of communication skill acquisition. METHODS:The databases Medline, Amed, Cinahl, B...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2007.02.011
更新日期:2007-07-01 00:00:00
abstract::The information-seeking behavior of cancer outpatients has been studied with the purpose of collecting data for the development of an educational intervention: stimulating communication between cancer outpatients and their specialists. The intention to seek information, the realization of the intention and the reasons...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(93)90087-d
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVE:A challenging but main task for clinicians is to identify patients' concerns related to their medical conditions. The study aim was to validate a new coding scheme for identifying patients' cues and concerns. METHODS:12 videotaped consultations between nurses and pain patients were coded according to the Ver...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.04.036
更新日期:2011-02-01 00:00:00
abstract::The aim of this study was to evaluate the likelihood, correlates, and psychological impact of parental communication to children of parents' BRCA1/2 genetic test results for breast cancer risk. Subjects were 133 adult members of high risk families. Sociodemographic, clinical, and psychological distress variables were ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(00)00122-1
更新日期:2001-03-01 00:00:00
abstract:OBJECTIVE:Verbal and non-verbal behaviors, which are known as "relational contextualization cues", relay information about relationships and how they are structured. We developed a computer-simulated provider conducting an informed consent process for clinical research to investigate the effects of a provider's alignme...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.03.017
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:To examine how physicians use information about a patient's background knowledge when both anticipating what a patient knows and producing actual answers in an email counseling setting. METHODS:A fictitious patient used a (high vs. low) level of technical jargon in an email inquiry about diabetes and provide...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.01.011
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:To review and meta-analyze the efficacy of educational counseling alone in tinnitus. METHODS:We collected randomized controlled trials (RCTs) adhered to PRISMA guidelines. Analyzed the effect of educational counseling alone versus other forms of therapy (psychological or combination) with RevMan 5.3. RESULT...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2019.07.031
更新日期:2020-01-01 00:00:00
abstract::Whilst lesbians are no different in terms of psychological adjustment than heterosexuals, they do seek counseling for a variety of reasons and some of these are unique to their experiences as lesbians. Some of these reasons are related to difficulties in coming out, particularly in young lesbians, and some are to do w...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/s0738-3991(98)00022-6
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVE:Patient-centered care emphasizes the need to form a therapeutic and trusting relationship between patients and providers in which patients feel comfortable disclosing health-relevant and personal information. It is still unknown how many patients disclose their sexual orientation to providers, under what circ...
journal_title:Patient education and counseling
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.pec.2018.05.001
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to gain a greater understanding of the potential mechanisms of life coaching in relation to young people with Type 1 diabetes (T1DM); including how it influences their motivation and their ability to see opportunities and overcome barriers. METHODS:Within the theoretical framewo...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.10.010
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To explore the effectiveness of a patient education programme for chronic disease self-management in terms of whether (a) patients are taught to perform the medical procedure and (b) nurses have evidence of patients' proficiency when they start self-management. METHODS:Patients were followed through an educa...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.10.001
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:The purpose of this article is to clarify the concept of empowerment and to correct common misconceptions about its use in diabetes care and education. METHODS:The patient empowerment approach is well suited to helping patients make self-selected changes related to weight, nutrition, and physical activity. A...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2009.07.025
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:Physicians often overlook important contextual clues that patients give during an encounter. The objective of our study was to increase medical students' knowledge and skills in identifying contextual issues. METHODS:Six consecutive learning experiences, including a standardized patient (SP) encounter and ac...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2010.06.035
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of patients' perceptions of providers' communication on medication adherence in hypertensive African Americans. METHODS:Cross-sectional study of 439 patients with poorly controlled hypertension followed in community-based healthcare practices in the New York metropolitan area. Patients...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.09.018
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:To describe the type of care provided by a nationally-representative sample of informal caregivers, the frequency of unmet supportive care needs, and examine characteristics associated with unmet needs. METHODS:Using data from the Health Information National Trends Survey, we identified caregivers of an adul...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.10.015
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVES:This trial tested the effectiveness of a self-administered web-based decision aid, targeted at citizens with lower educational attainment, on informed choice about colorectal cancer screening participation as assessed by group levels of knowledge, attitudes and uptake. METHODS:The randomised controlled tria...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2019.08.029
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:Next generation sequencing (NGS) may aid in tumor classification and treatment. Barriers to shared decision-making may influence use of NGS. We examined, from oncologists' perspectives, whether barriers to involving patients/families in decision-making were associated with NGS use. METHODS:Using data from th...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.03.001
更新日期:2021-01-01 00:00:00
abstract::Despite believing end-of-life (EOL) discussions with patients are important, doctors often do not have them. Multiple factors contribute to this shortfall, which interventions including reimbursement changes and communication skills training have not significantly improved to date. One commonly cited but under-researc...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.12.008
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:This study introduces the concept of epistemic brokering in interpreter-mediated medical visits and illustrates how it can be used to effectively convey information between providers and patients/parents. METHODS:Conversation analysis is used to analyze 24 pediatric genetics consultations (=17.75 h) involvin...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.05.020
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVES:We characterized patients' comprehension, memory, and impressions of risk communication messages in a patient decision aid (PtDA), Mammopad, and clarified perceived importance of numeric risk information in medical decision making. METHODS:Participants were 75 women in their forties with average risk factor...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.02.013
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To assess the concordance between patients' preferred role in clinical decision-making and the role they usually experience in their psychiatric consultations and to analyze the influence of socio-demographic, clinical and personality characteristics on patients' preferences. METHODS:677 consecutive psychiat...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.05.009
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:Our aim was to synthesise qualitative literature about the perceived impact and experience of participating in peer support interventions for individuals with chronic disease. METHODS:We carried out a meta-ethnography to synthesize 25 papers meeting specific inclusion criteria. RESULTS:Thirteen concepts wer...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2013.02.002
更新日期:2013-07-01 00:00:00
abstract::The effect of a pre-coronary angioplasty education and counselling program on knowledge and psychological status of patients and on knowledge and quality of life/coping status of their spouses was evaluated. Forty patients and their spouses participated in a pre-coronary angioplasty education and counselling program a...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(97)00040-2
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVE:Culture and ethnicity have often been cited as barriers in establishing an effective and satisfying doctor-patient relationship. The aim of this paper is to gain more insight in intercultural medical communication difficulties by reviewing observational studies on intercultural doctor-patient communication. I...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2005.11.014
更新日期:2006-12-01 00:00:00
abstract::Determinants of compliance with a 6-month diet and exercise program were studied among 118 healthy middle-aged men with risk factors for coronary heart disease (CHD). Data were gathered via medical examinations, interviews and questionnaires. Smoking, high levels of hostility, perception of barriers to diet change and...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0738-3991(96)00917-2
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:Massachusetts (MA) public schools conduct mandated body-mass index (BMI) screening and until recently, communicated results in a letter to parents/caregivers, to encourage primary care visits and provide aggregate data to the state Department of Public Health. This study assessed the letter's readability and...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.10.016
更新日期:2014-02-01 00:00:00