The Effect of Patient Race and Blood Pressure Control on Patient-Physician Communication
The Effect of Patient Race and Blood Pressure Control on Patient-Physician Communication
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DOI：
10.1007/s11606-009-1051-4
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发表时间：
2009-09-01
影响因子：
5.7
通讯作者：
Cooper, Lisa A.
中科院分区：
文献类型：
--
作者：
Cene, Crystal W.;Roter, Debra;Cooper, Lisa A.
背景：高血压控制方面的种族差异导致黑人心血管死亡率较高。医患沟通质量与更好的健康结果相关，包括血压 (BP) 控制。种族/族裔和血压控制都可能对沟通产生不利影响。 目的：确定黑人和血压控制不佳是否会相互作用，对医患沟通产生比单独一种情况更大的不利影响，这种情况被称为“双重危险”。 设计、环境和患者：对来自旨在提高患者对高血压治疗依从性的随机对照干预试验的入组数据进行横断面研究。参与者包括来自马里兰州巴尔的摩 15 个初级保健诊所的 226 名高血压患者和 39 名医生。测量：根据录音带编码得出的沟通行为和就诊时长。结果：在控制患者和医生特征后，血压不受控制的黑人的就诊时间较短（B=-3.9 分钟，p
BACKGROUND: Racial disparities in hypertension control contribute to higher rates of cardiovascular mortality among blacks. Patient-physician communication quality is associated with better health outcomes, including blood pressure (BP) control. Both race/ethnicity and BP control may adversely affect communication.OBJECTIVE: To determine whether being black and having poor BP control interact to adversely affect patient-physician communication more than either condition alone, a situation referred to as "double jeopardy."DESIGN, SETTINGS, AND PATIENTS: Cross-sectional study of enrollment data from a randomized controlled trial of interventions to enhance patient adherence to therapy for hypertension. Participants included 226 hypertensive patients and 39 physicians from 15 primary care practices in Baltimore, MD.MEASUREMENTS: Communication behaviors and visit length from coding of audiotapes.RESULTS: After controlling for patient and physician characteristics, blacks with uncontrolled BP have shorter visits (B=-3.9 min, p