scholarly journals Variation in patient–provider communication by patient’s race and ethnicity, provider type, and continuity in and site of care: An analysis of data from the Connecticut Health Care Survey

2016 ◽  
Vol 4 ◽  
pp. 205031211562516 ◽  
Author(s):  
Robert H Aseltine ◽  
Alyse Sabina ◽  
Gillian Barclay ◽  
Garth Graham
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Race And Ethnicity ◽  
Provider Communication ◽  
Care Providers ◽  
Health Care Survey ◽  
Hispanic Patients ◽  
Patient Provider Communication ◽  
Care Survey

Objectives: The purpose of this study is to examine the quality of patient-reported communication with their health care providers using data from a large, statewide survey of patients. We examine the relationship between patient’s race and ethnicity, type of health care provider, site of and continuity in care, and the quality of patient–provider communication. Methods: We analyze data from the Connecticut Health Care Survey, a representative telephone survey of 4608 Connecticut residents conducted between June 2012 and February 2013. Eight measures of patient–provider communication were analyzed using weighted general linear and logistic regression models. Results: Patients’ assessments of the quality of communication with their health care providers were generally positive. Hispanic patients, those who received care in a clinic or hospital setting, and those who did not consistently see the same provider reported significantly poorer communication with their providers. Conclusion: Our data suggest that improving patient–provider communication for Hispanic patients may be a critical step in achieving health equity. However, increased access to health care delivered outside of physician offices where there may not be consistency in providers across encounters may pose challenges to effective health communication.

scholarly journals ‘He should feel your pain’: Patient insights on patient–provider communication in Rwanda

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Vincent K. Cubaka ◽  
Michael Schriver ◽  
Janvier B. Kayitare ◽  
Phil Cotton ◽  
Helle T. Maindal ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Pain Patient ◽  
Provider Communication ◽  
Care Providers ◽  
Structured Interviews ◽  
Communication Preferences ◽  
Limited Literacy ◽  
Patient Provider Communication ◽  
Sub Saharan

Background: Patient–provider communication is an interpersonal interaction between a patient and a health care provider.Objective: This study explored patients’ communication preferences and perceptions on what factors influence the patient–provider communication in primary health care settings in Rwanda.Methods: In-depth semi-structured interviews with 15 individuals including 8 with limited literacy. A thematic inductive analysis was used.Results: Patients valued communication with providers and expressed the need for interacting with caring, empathic providers who can share all the information they want and involve them in their own care. Health literacy and power issues were factors that may influence patient–provider communication. Patients with limited literacy appeared to rely highly on health care providers for making decisions about and managing their health care.Conclusion: The expressed preferences, including those of patients with limited literacy, aligned well with the patient-centred care model. There were indications of a power imbalance weighing on the provider’s side. Although patients with limited literacy were reliant on providers for decision-making, they were ready to be more involved in the care, suggesting a potential for improved patient involvement even for patients with paternalistic care preferences. These patients’ insights can impact policies and curricula to optimise clinical practice. Generated knowledge will contribute to the indispensable yet underdeveloped field of health communication in sub-Saharan Africa.Practice implications: Findings call for more inclusion of patient perspectives in the patient–provider encounter. This could require more training of professionals and research on the topic, both in Rwanda and in other regions.

Patient Provider Communication: Preparation of Speech-Language Pathology Externship Students

2016 ◽  
Vol 1 (11) ◽  
pp. 35-40 ◽  
Author(s):  
David R. Beukelman ◽  
Susan Fager ◽  
Suzanne Seberg
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Provider Communication ◽  
Care Providers ◽  
Speech Language Pathology ◽  
Communication Support ◽  
Support Materials ◽  
Vulnerable Patients ◽  
Language Pathology ◽  
Patient Provider Communication

This article reviews pertinent policies, information, and materials that assist speech-language pathologists (SLPs) to support effective communication between health care providers and communication vulnerable patients across health care settings. Five types of communication vulnerable patients and the roles of communication support personnel are discussed. Several types of medical referrals to initiate patient provider communication (PPC) support are introduced. Access to a variety of communication support materials and tools is provided. Instructional strategies to integrate PPC instruction into preprofessional programs and externship experiences are described.

scholarly journals Developing Infographics to Facilitate HIV-Related Patient–Provider Communication in a Limited-Resource Setting

2019 ◽  
Vol 10 (04) ◽  
pp. 597-609 ◽  
Author(s):  
Samantha Stonbraker ◽  
Mina Halpern ◽  
Suzanne Bakken ◽  
Rebecca Schnall
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Limited Resource ◽  
Provider Communication ◽  
Care Providers ◽  
Domain Experts ◽  
Limited Resource Setting ◽  
Resource Setting ◽  
Persons Living With Hiv ◽  
Patient Provider Communication

Background Productive patient–provider communication is a recognized component of high-quality health care that leads to better health outcomes. Well-designed infographics can facilitate effective communication, especially when culture, language, or literacy differences are present. Objectives This study aimed to rigorously develop infographics to improve human immunodeficiency virus (HIV)-related patient–provider communication in a limited-resource setting. A secondary purpose was to establish through participant feedback that infographics convey intended meaning in this clinical and cultural context. Methods We adapted a participatory design methodology, developed in a high-resource setting, for use in the Dominican Republic. Initially, content to include was established using a data-triangulation method. Then, infographics were iteratively generated and refined during five phases of design sessions with three stakeholder groups: (1) 25 persons living with HIV, (2) 8 health care providers, and (3) 5 domain experts. Suggestions for improvement were incorporated between design sessions and questions to confirm interpretability of infographics were included at the end of each session. Results Each participant group focused on different aspects of infographic designs. Providers drew on past experiences with patients and offered clinically and contextually relevant recommendations of symbols and images to include. Domain experts focused on technical design considerations and interpretations of infographics. While it was difficult for patient participants to provide concrete suggestions, they provided feedback on the meaning of infographics and responded clearly to direct questions regarding possible changes. Fifteen final infographics were developed and all participant groups qualitatively confirmed that they displayed the intended content in a culturally appropriate and clinically meaningful way. Conclusion Incorporating perspectives from various stakeholders led to the evolution of designs over time and generated design recommendations that will be useful to others creating infographics for use in similar populations. Next steps are to assess the feasibility of using infographics to improve clinical communication and patient outcomes.

scholarly journals Multi-level considerations for optimal implementation of long-acting injectable antiretroviral therapy to treat people living with HIV: perspectives of health care providers participating in phase 3 trials

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Andrea Mantsios ◽  
Miranda Murray ◽  
Tahilin S. Karver ◽  
Wendy Davis ◽  
Noya Galai ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health System ◽  
Health Care Providers ◽  
The United States ◽  
Provider Communication ◽  
Care Providers ◽  
Patient Provider Communication ◽  
Multi Level ◽  
Long Acting

Abstract Background Long-acting injectable antiretroviral therapy (LA ART) has been shown to be non-inferior to daily oral ART, with high patient satisfaction and preference to oral standard of care in research to date, and has recently been approved for use in the United States and Europe. This study examined the perspectives of health care providers participating in LA ART clinical trials on potential barriers and solutions to LA ART roll-out into real world settings. Methods This analysis draws on two data sources: (1) open-ended questions embedded in a structured online survey of 329 health care providers participating in the ATLAS-2 M trial across 13 countries; and (2) in-depth interviews with 14 providers participating in FLAIR/ ATLAS/ATLAS-2 M trials in the United States and Spain. Both assessments explored provider views and clinic dynamics related to the introduction of LA ART and were analyzed using thematic content analysis. The Consolidated Framework for Implementation Research (CFIR) was drawn on as the conceptual framework underpinning development of a model depicting study findings. Results Barriers and proposed solutions to LA ART implementation were identified at the individual, clinic and health system levels. Provider perceptions of patient level barriers included challenges with adhering to frequent injection appointments and injection tolerability. Proposed solutions included patient education, having designated staff for clinic visit retention, and clinic flexibility with appointment scheduling. The main provider concern was identifying appropriate candidates for LA ART; proposed solutions focused on patient provider communication and decision making. Clinic level barriers included the need for additional skilled individuals to administer injections, shifts in workflow as demand increases and the logistics of cold-chain storage. Proposed solutions included staff hiring and training, strategic planning around workflow and logistics, and the possibility of offering injections in other settings, including the home. Health system level barriers included cost and approvals from national regulatory bodies. Potential solutions included governments subsidizing treatment, ensuring cost is competitive with oral ART, and offering co-pay assistance. Conclusions Results suggest the importance of multi-level support systems to optimize patient-provider communication and treatment decision-making; clinic staffing, workflow, logistics protocols and infrastructure; and cost-related factors within a given health system.

Patient-Provider Communication Training for Dysarthria: Lessons Learned from Student Trainees

2017 ◽  
Vol 38 (03) ◽  
pp. 229-238 ◽  
Author(s):  
Carolyn Baylor ◽  
Kathryn Yorkston ◽  
Michael Burns
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Communication Disorders ◽  
Skills Training ◽  
Lessons Learned ◽  
Provider Communication ◽  
Care Providers ◽  
Quality Health Care ◽  
Patient Provider Communication

AbstractPatient-provider communication skills training programs rarely include content addressing how health care providers can improve communication with patients exhibiting dysarthria and other communication disorders. Consequently, these patients often struggle to access quality health care services. This article describes a training program focused on giving health care students the opportunity to interact with standardized patients portraying dysarthria and aphasia. A summary of the program's outcome is then provided from the perspective of the students involved as well as lessons students taught us about how to continue improving this type of program and to make it a more universal part of health care education.

scholarly journals Growth Dynamics of Patient-Provider Internet Communication: Trend Analysis Using the Health Information National Trends Survey (2003 to 2013) (Preprint)

2017 ◽  
Author(s):  
Will L Tarver ◽  
Terri Menser ◽  
Bradford W Hesse ◽  
Tyler J Johnson ◽  
Ellen Beckjord ◽  
...  
Keyword(s):  
Health Care ◽  
Health Information ◽  
Health Care Providers ◽  
Provider Communication ◽  
Care Providers ◽  
Internet Users ◽  
Patient Provider Communication ◽  
Trends Over Time ◽  
National Trends ◽  
Over Time

BACKGROUND Communication is key in chronic disease management, and the internet has altered the manner in which patients and providers can exchange information. Adoption of secure messaging differs among patients due to the digital divide that keeps some populations from having effective access to online resources. OBJECTIVE This study aimed to examine the current state of online patient-provider communication, exploring trends over time in the use of online patient-provider communication tools. METHODS A 3-part analytic process was used to study the following: (1) reanalysis, (2) close replication across years, and (3) trend analysis extension. During the reanalysis stage, the publicly available Health Information National Trends Survey (HINTS) 1 and 2 data were used with the goal of identifying the precise analytic methodology used in a prior study, published in 2007. The original analysis was extended to add 3 additional data years (ie, 2008, 2011, and 2013) using the original analytical approach with the purpose of identifying trends over time. Multivariate logistic regression was used to analyze pooled data across all years, with year as an added predictor, in addition to a model for each individual data year. RESULTS The odds of internet users to communicate online with health care providers was significantly and increasingly higher year-over-year, starting in 2003 (2005: odds ratio [OR] 1.31, 95% CI 1.03-1.68; 2008: OR 2.14, 95% CI 1.76-2.59; 2011: OR 2.92, 95% CI 2.33-3.66; and 2013: OR 5.77; 95% CI 4.62-7.20). Statistically significant socio-economic factors found to be associated with internet users communicating online with providers included age, having health insurance, having a history of cancer, and living in an urban area of residence. CONCLUSIONS The proportion of internet users communicating online with their health care providers has significantly increased since 2003. Although these trends are encouraging, access challenges still exist for some groups, potentially giving rise to a new set of health disparities related to communication.

scholarly journals Associations Between E-mail Patient-Provider Communication and Cancer Screenings: Observational Study using 2011-2015 National Health Interview Survey (Preprint)

2020 ◽  
Author(s):  
Tiffany B. Kindratt ◽  
Marlyn Allicock ◽  
Folefac Atem ◽  
Florence J. Dallo ◽  
Bijal A. Balasubramanian
Keyword(s):  
Health Care ◽  
Colon Cancer ◽  
Cancer Screening ◽  
Health Care Providers ◽  
Provider Communication ◽  
Care Providers ◽  
The Past ◽  
Cancer Screenings ◽  
Patient Provider Communication ◽  
E Mail

BACKGROUND The growth of electronic medical records and patient portal use have allowed for patients and health care providers to communicate by e-mail and direct messaging between health care visits. E-mail patient-provider communication (PPC) may enhance traditional face-to-face PPC by allowing patients to ask questions, receive clear explanations, engage in shared-decision making, and confirm understanding in between in-person visits. Despite increasing trends in the use of e-mail patient-provider communication (PPC) since the early 2000s, few studies have evaluated associations between e-mail PPC and preventive services uptake. OBJECTIVE Our objective was to determine associations between e-mail PPC use and adults’ likelihood of receiving breast, cervical, and colon cancer screenings. METHODS Secondary, cross-sectional data from the 2011-2015 National Health Interview Survey were combined and analyzed (n=68,691). For each cancer screening, inclusion criteria were based on the age of screening recommendations and no prior history of the cancer screening of interest. The independent variable was whether adults used e-mail PPC in the past 12 months (yes or no). The dependent variables were whether: 1) women received a mammogram in the past 12 months (ages >40 years); 2) women received a Pap test in the past 12 months (ages 21-65 years); and 3) adults received a colon cancer screening in the past 12 months (ages >50 years). Bivariate and multivariable logistic regression analyses were conducted. RESULTS Adults who reported receiving all cancer screenings in the past 12 months were more likely to be non-Hispanic white, married/live with a partner, have a bachelor’s degree or higher level of education, have health insurance coverage and perceive their health as excellent, very good or good (all p’s<.001). Men were more likely to receive colon cancer screenings than women (p<.0001). In multivariable logistic regression models, women who used e-mail to communicate with their health care providers had greater odds of receiving breast (OR=1.38; 95% CI=1.26-1.50) and cervical (OR=1.10; 95% CI=1.02-1.20) cancer screenings compared to women who did not use e-mail PPC. Adults who used e-mail to communicate with their health care providers had 1.55 times greater odds (95% CI=1.42-1.69) of receiving a colon cancer screening compared to those who did not use e-mail PPC. CONCLUSIONS Our results demonstrate that more patient engagement through health information technology for communication with health care providers may improve adults’ likelihood of receiving preventive services, particularly breast, cervical, and colon cancer screenings. More research is needed to examine other factors related to the reasons for and quality of e-mail PPC between patients and health care providers and determine avenues for health education and intervention.

scholarly journals Influence of Scribes on Patient-Physician Communication in Primary Care Encounters: Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Shivang U Danak ◽  
Timothy C Guetterman ◽  
Melissa A Plegue ◽  
Heather L Holmstrom ◽  
Reema Kadri ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Providers ◽  
Clinical Encounter ◽  
Physician Communication ◽  
Provider Communication ◽  
Care Providers ◽  
Clinical Encounters ◽  
Patient Provider Communication

BACKGROUND With the increasing adoption of electronic health record (EHR) systems, documentation-related burdens have been increasing for health care providers. Recent estimates indicate that primary care providers spend about one-half of their workdays interacting with the EHR, of which about half is focused on clerical tasks. To reduce documentation burdens associated with the EHR, health care systems and physician practices are increasingly implementing medical scribes to assist providers with real-time documentation. Scribes are typically unlicensed paraprofessionals who assist health care providers by documenting notes electronically under the direction of a licensed practitioner or physician in real time. Despite the promise of scribes, few studies have investigated their effect on clinical encounters, particularly with regard to patient-provider communication. OBJECTIVE The purpose of this quasi-experimental pilot study was to understand how scribes affect patient-physician communication in primary care clinical encounters. METHODS We employed a convergent mixed methods design and included a sample of three physician-scribe pairs and 34 patients. Patients’ clinical encounters were randomly assigned to a scribe or nonscribe group. We conducted patient surveys focused on perceptions of patient-provider communication and satisfaction with encounters, video recorded clinical encounters, and conducted physician interviews about their experiences with scribes. RESULTS Overall, the survey results revealed that patients across both arms reported very high satisfaction of communication with their physician, their physician’s use of the EHR, and their care, with very little variability. Video recording analysis supported patient survey data by demonstrating high measures of communication among physicians in both scribed and nonscribed encounters. Furthermore, video recordings revealed that the presence of scribes had very little effect on the clinical encounter. CONCLUSIONS From the patient’s perspective, scribes are an acceptable addition to clinical encounters. Although they do not have much impact on patients’ perceptions of satisfaction and their impact on the clinical encounter itself was minimal, their potential to reduce documentation-related burden on physicians is valuable. Physicians noted important issues related to scribes, including important considerations for implementing scribe programs, the role of scribes in patient interactions, how physicians work with scribes, characteristics of good scribes, and the role of scribes in physician workflow.

The Need for Nurse Training to Promote Improved Patient-Provider Communication for Patients With Complex Communication Needs

2013 ◽  
Vol 22 (2) ◽  
pp. 112-119 ◽  
Author(s):  
Debora Downey ◽  
Mary Beth Happ
Keyword(s):  
Health Care Providers ◽  
Communication Disorders ◽  
Provider Communication ◽  
Nurse Training ◽  
Care Providers ◽  
Speech Language Pathologists ◽  
Complex Communication Needs ◽  
Team Members ◽  
Patient Provider Communication ◽  
Communication Needs

Abstract Hospitalized patients across the age continuum often present with complex communication needs (CCN) due to motor, sensory, cognitive, and linguistic barriers they may experience during their admission. Although hospitals recognize the need to enhance communication to improve quality and safety for all patients, the emphasis has been primarily on improving ”care coordination” amongst the health care providers the patient encounters across all points of admission. Most hospitals have yet to focus on improving the patient-provider communication experience, especially for patients with CCN. However, this population no longer can be ignored, as new standards mandate efforts to improve communication for patients with CCN. Nurses, as the team members responsible for continuous care during hospital stays, and speech-language pathologists, as communication disorders specialists, are positioned distinctively to facilitate patient communication and prevent miscommunications between patients and care providers. This article highlights the need to enhance the patient-provider communication experience for patients with CCN. We review the state of nurse training for patients with CCN, discuss the role speech-language pathologists can play in developing and implementing nurse training protocols, and outline basic elements nurse training modules should include.

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