Document Detail


The association of provider communication with trust among adults with sickle cell disease.
MedLine Citation:
PMID:  20195785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Adults with sickle cell disease often report poor interpersonal healthcare experiences, including poor communication with providers. However, the effect of these experiences on patient trust is unknown.
OBJECTIVE: To determine the association between patient ratings of the previous quality of provider communication and current trust in the medical profession among adults with sickle cell disease.
RESEARCH DESIGN: Cross-sectional survey.
PARTICIPANTS: A total of 95 adults with sickle cell disease.
MEASUREMENTS: The four-item Provider Communication Subscale from the Consumer Assessment of Healthcare Plans and Systems Survey; The five-item Wake Forest Trust in the Medical Profession Scale.
MAIN RESULTS: Better ratings of previous provider communication were significantly associated with higher levels of trust toward the medical profession. A 10% increase in provider communication rating was associated with a 3.76% increase in trust scores (p < 0.001, 95% CI [1.76%, 5.76%]), adjusting for patient-level demographic, clinical, and attitudinal characteristics.
CONCLUSIONS: Poorer patient ratings of provider communication are associated with lower trust toward the medical profession among adults with sickle cell disease. Future research should examine the impact of low trust in the medical profession on clinical outcomes in this population of patients.
Authors:
Carlton Haywood; Sophie Lanzkron; Neda Ratanawongsa; Shawn M Bediako; Lakshmi Lattimer; Neil R Powe; Mary Catherine Beach
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-03-03
Journal Detail:
Title:  Journal of general internal medicine     Volume:  25     ISSN:  1525-1497     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-14     Completed Date:  2010-08-12     Revised Date:  2011-06-02    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  543-8     Citation Subset:  IM    
Affiliation:
Division of Hematology, The Johns Hopkins University School of Medicine, The Johns Hopkins Berman Institute of Bioethics, Baltimore, MD 21205, USA. chaywood@jhsph.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Anemia, Sickle Cell / psychology*
Attitude to Health
Communication*
Cross-Sectional Studies
Female
Humans
Male
Patient Satisfaction
Physician-Patient Relations*
Quality of Health Care*
Trust*
Young Adult
Grant Support
ID/Acronym/Agency:
5F31HL082037-03/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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