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Racial and Ethnic Disparities in Patient-Provider Communication With Breast Cancer Patients: Evidence From 2011 MEPS and Experiences With Cancer Supplement.

Abstract The current study explores racial/ethnic disparities in the quality of patient-provider communication during treatment, among breast cancer patients. A unique data set, Medical Expenditure Panel Survey and Experiences With Cancer Supplement 2011, is used to examine this topic. Using measures of the quality of patient-provider communication that patients are best qualified to evaluate, we explore the relationship between race/ethnicity and patients' perspectives on whether (1) patient-provider interactions are respectful, (2) providers are listening to patients, (3) providers provide adequate explanations of outcomes and treatment, and (4) providers spend adequate time in interacting with the patients. We also examine the relationship between race/ethnicity and patients' perspectives on whether their (1) doctor ever discussed need for regular follow-up care and monitoring after completing treatment, (2) doctor ever discussed long-term side effects of cancer treatment, (3) doctor ever discussed emotional or social needs related to cancer, and (4) doctor ever discussed lifestyle or health recommendations. Multivariate ordinary least squares and ordered logistic regression models indicate that after controlling for factors such as income and health insurance coverage, the quality of patient-provider communication with breast cancer patients varies by race/ethnicity. Non-Hispanic blacks experience the greatest communication deficit. Our findings can inform the content of future strategies to reduce disparities.
PMID
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Authors

Mayor MeshTerms

Communication

Physician-Patient Relations

Quality of Health Care

Keywords

Medical Expenditure Panel Survey

breast cancer

cultural competency

experiences with cancer supplement

ordered logistic regression

patient activation

patient-doctor communication

racial/ethnic disparities

Journal Title inquiry : a journal of medical care organization, provision and financing
Publication Year Start




PMID- 28856941
OWN - NLM
STAT- MEDLINE
DA  - 20170831
DCOM- 20170912
LR  - 20170912
IS  - 1945-7243 (Electronic)
IS  - 0046-9580 (Linking)
VI  - 54
DP  - 2017 Jan 01
TI  - Racial and Ethnic Disparities in Patient-Provider Communication With Breast
      Cancer Patients: Evidence From 2011 MEPS and Experiences With Cancer Supplement.
PG  - 46958017727104
LID - 10.1177/0046958017727104 [doi]
AB  - The current study explores racial/ethnic disparities in the quality of
      patient-provider communication during treatment, among breast cancer patients. A 
      unique data set, Medical Expenditure Panel Survey and Experiences With Cancer
      Supplement 2011, is used to examine this topic. Using measures of the quality of 
      patient-provider communication that patients are best qualified to evaluate, we
      explore the relationship between race/ethnicity and patients' perspectives on
      whether (1) patient-provider interactions are respectful, (2) providers are
      listening to patients, (3) providers provide adequate explanations of outcomes
      and treatment, and (4) providers spend adequate time in interacting with the
      patients. We also examine the relationship between race/ethnicity and patients'
      perspectives on whether their (1) doctor ever discussed need for regular
      follow-up care and monitoring after completing treatment, (2) doctor ever
      discussed long-term side effects of cancer treatment, (3) doctor ever discussed
      emotional or social needs related to cancer, and (4) doctor ever discussed
      lifestyle or health recommendations. Multivariate ordinary least squares and
      ordered logistic regression models indicate that after controlling for factors
      such as income and health insurance coverage, the quality of patient-provider
      communication with breast cancer patients varies by race/ethnicity. Non-Hispanic 
      blacks experience the greatest communication deficit. Our findings can inform the
      content of future strategies to reduce disparities.
FAU - White-Means, Shelley I
AU  - White-Means SI
AD  - 1 The University of Tennessee Health Science Center, Memphis, USA.
FAU - Osmani, Ahmad Reshad
AU  - Osmani AR
AD  - 2 The University of Memphis, TN, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Inquiry
JT  - Inquiry : a journal of medical care organization, provision and financing
JID - 0171671
SB  - IM
MH  - African Americans
MH  - Age Factors
MH  - Aged
MH  - Breast Neoplasms/*ethnology
MH  - *Communication
MH  - Comorbidity
MH  - Cross-Sectional Studies
MH  - Cultural Competency
MH  - European Continental Ancestry Group
MH  - Female
MH  - Health Services Accessibility
MH  - Health Services Research
MH  - Healthcare Disparities/*ethnology
MH  - Hispanic Americans
MH  - Humans
MH  - Logistic Models
MH  - Middle Aged
MH  - *Physician-Patient Relations
MH  - *Quality of Health Care
MH  - Residence Characteristics
MH  - Socioeconomic Factors
MH  - United States
OTO - NOTNLM
OT  - Medical Expenditure Panel Survey
OT  - breast cancer
OT  - cultural competency
OT  - experiences with cancer supplement
OT  - ordered logistic regression
OT  - patient activation
OT  - patient-doctor communication
OT  - racial/ethnic disparities
EDAT- 2017/09/01 06:00
MHDA- 2017/09/13 06:00
CRDT- 2017/09/01 06:00
AID - 10.1177/0046958017727104 [doi]
PST - ppublish
SO  - Inquiry. 2017 Jan 1;54:46958017727104. doi: 10.1177/0046958017727104.