Tu1012 Optimizing Medical Care for NAFLD: A Structured Assessment of Medical Providers

Immigrants living in the United States experience disparities in satisfaction with medical care. Practicing patient-centered communication and providing racially (or race-concordant) concordant care are suggested as effective approaches to improve care satisfaction. Using the Medical Expenditure Panel Survey, we found that immigrant patients with medical providers who practiced patient-centered communication were more likely to be satisfied with the care they received regardless of patient–provider racial concordance, and that simply having racially concordant medical providers did not significantly affect the satisfaction level for immigrant patients. The findings suggest that providing patient-centered communication may mitigate racial and cultural differences between providers and patients, and is key to reducing disparities and improving immigrant patients’ satisfaction level with medical care.

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Adherence to Follow-Up Recommendations by Triathlon Competitors Receiving Event Medical Care

Emergency Medicine International ◽

10.1155/2017/1375181 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5

Author(s):

Jeremy D. Joslin ◽

Jarem B. Lloyd ◽

Nikoli Copeli ◽

Derek R. Cooney

Keyword(s):

Medical Care ◽

Routine Care ◽

Medical Professional ◽

Care Providers ◽

Medical Providers ◽

Medical Provider ◽

Finish Line ◽

Time Period ◽

Follow Up Care

Introduction. We sought to investigate triathlete adherence to recommendations for follow-up for participants who received event medical care. Methods. Participants of the 2011 Ironman Syracuse 70.3 (Syracuse, NY) who sought evaluation and care at the designated finish line medical tent were contacted by telephone approximately 3 months after the initial encounter to measure adherence with the recommendation to seek follow-up care after event. Results. Out of 750 race participants, 35 (4.6%) athletes received event medical care. Of these 35, twenty-eight (28/35; 80%) consented to participate in the study and 17 (61%) were available on telephone follow-up. Of these 17 athletes, 11 (11/17; 65%) of participants reported that they had not followed up with a medical professional since the race. Only 5 (5/17; 29%) confirmed that they had seen a medical provider in some fashion since the race; of these, only 2 (2/17; 12%) sought formal medical follow-up resulting from the recommendation whereas the remaining athletes merely saw their medical providers coincidentally or as part of routine care. Conclusion. Only 2 (2/17; 12%) of athletes who received event medical care obtained postrace follow-up within a one-month time period following the race. Event medical care providers must be aware of potential nonadherence to follow-up recommendations.

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Race Deficits in Pain Detection: Medical Providers and Laypeople Fail to Accurately Perceive Pain Authenticity Among Black People

Social Psychological and Personality Science ◽

10.1177/19485506211045887 ◽

2021 ◽

pp. 194855062110458

Author(s):

E. Paige Lloyd ◽

Audrey R. Lloyd ◽

Allen R. McConnell ◽

Kurt Hugenberg

Keyword(s):

Medical Care ◽

Intergroup Relations ◽

Pain Perception ◽

Black People ◽

Pain Treatment ◽

Practical Significance ◽

Medical Providers ◽

Race Disparities ◽

Pain Detection ◽

Pain Stimuli

Across six studies ( N = 904), we suggest a novel mechanism for race disparities in pain treatment: Perceiver deficits in discriminating real from fake pain for Black (relative to White) individuals. Across Studies 1–4, White participants (Studies 1–4) and Black participants (Study 2) were better at discerning authentic from inauthentic pain expressions for White targets than for Black targets. This effect emerged for both subtle (Studies 1 and 2) and intense (Studies 3 and 4) pain stimuli. Studies 5 and 6 examined consequences for medical care decisions by examining pain treatment recommendations by laypeople (Study 5) and pain authenticity judgments by medical providers (Study 6). This work advances theory in pain perception, emotion judgment, and intergroup relations. It also has practical significance for identifying unexplored mechanisms causing racial disparities in medical care.

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New premises and new tools for medical care and education

Journal of Dental Education ◽

10.1002/j.0022-0337.1996.60.1.tb03013.x ◽

1996 ◽

Vol 60 (1) ◽

pp. 64-67

Author(s):

LL Weed

Keyword(s):

Medical Care

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The Collaborative Medical and Behavioral Management of Chronic Cough

Perspectives on Voice and Voice Disorders ◽

10.1044/vvd19.2.49 ◽

2009 ◽

Vol 19 (2) ◽

pp. 49-57

Author(s):

Brian E. Petty ◽

Seth H. Dailey

Keyword(s):

Medical Care ◽

Chronic Cough ◽

Therapeutic Management ◽

Ambulatory Setting ◽

Behavioral Management ◽

Speech Language Pathologists ◽

Speech Language Pathologist ◽

The Many ◽

Frequent Reason

Abstract Chronic cough is the most frequent reason cited by patients for seeking medical care in an ambulatory setting and may account for 10% to 38% of a pulmonologist's practice. Because chronic cough can be caused by or correlated with a wide array of disorders and behaviors, the diagnosis of etiologic factors and determination of appropriate therapeutic management in these cases can prove to be daunting for the physician and speech-language pathologist alike. This article will describe the phenomenon of chronic cough, discuss the many etiologic factors to consider, and review some of the more common ways in which speech-language pathologists and physicians collaborate to treat this challenging condition.

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