Research Project 2
研究项目2
基本信息
- 批准号:10159133
- 负责人:
- 金额:$ 13.27万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-09-25 至 2024-06-30
- 项目状态:已结题
- 来源:
- 关键词:AdherenceAffectAfrican AmericanAreaAudiotapeAwarenessBehaviorCardiologyCaringClinicalCodeCommunicationComplexContinuity of Patient CareControl GroupsDecision MakingDiagnosisEducational InterventionEducational process of instructingEmpathyFeedbackGlycosylated hemoglobin AGoalsHealthcareInterventionKnowledgeLeadLifeLife StyleLinkMalpracticeMeasuresOutcomeOutcome MeasurePatient CarePatient-Centered CarePatient-Focused OutcomesPatientsPerceptionPhysiciansPrevention strategyPrimary Health CareProceduresProcessProviderQuality of CareRaceRandomized Controlled TrialsRecommendationReportingResearchResearch Project GrantsResearch SupportSavingsSubgroupSurveysTechniquesTestingTherapeuticTrustarmbaseblack patientclinical encountercomorbidityethnic differenceevidence baseexperiencegroup interventionhealth disparityimprovedintervention effectmortalitymultidisciplinarypatient engagementpatient orientedpatient-clinician communicationprimary outcomeracial and ethnic disparitiesracial differenceracial disparitysatisfactionsecondary outcomeskill acquisitionskills
项目摘要
Abstract - Project 2
TITLE: The effect of a clinician communication coaching intervention on racial
disparities in the quality of communication in cardiology encounters
High quality care depends squarely on communication between clinicians and patients.
Robust evidence links effective communication to important patient outcomes, such as higher
adherence, higher satisfaction, and lower malpractice suits. One study even linked physician
empathy with lower hbA1c levels. Quality of communication differs, however, for African
American compared to white patients. Many have reported race differences both in the
perception of communication and in observed ratings of communication. These race differences
can impact not just the patient experience of care but also the actual care patients receive.
Cardiology is an area where race differences in communication can lead to life altering
outcomes. When cardiologists provide different care based on patient race, disparities in
comorbidity and mortality persist. Although many have documented race differences, few have
attempted to reduce the gap in patient-physician communication between African Americans
and whites.
One strategy for reducing the gap of care involves improving overall communication,
particularly focusing on expressing empathy and attempting to improve patient engagement.
This is especially important in race-discordant (white physician, African-American patient) given
evidence that physicians often struggle communicating with patients of other races. Research
indicates that African Americans engage in less participatory behaviors and physicians elicit
less participatory behaviors among their African American patients compared to Whites.
Teaching physicians how to promote more question asking and support for autonomy for all
patients could reduce this gap. In this application, our multidisciplinary team applies a well-
established approach to achieving clinician-patient alignment in the cardiology setting. We
propose to conduct a two-arm randomized controlled trial with cardiologists in which half of the
cardiologists receive a coaching intervention that focuses on teaching empathic skills and
eliciting participatory behaviors. Our primary outcome is improved physician communication as
assessed by analysis of audio recordings of patient-physician encounters. Our secondary
outcome is patients' perceptions of the quality of patient centered communication. Our premise
is that incorporation of these techniques will improve providers' ability to effectively
communicate with all patients and will reduce racial disparities in actual and perceived quality of
provider communication quality with African-American and White patients.
摘要-项目2
标题:临床医生沟通指导干预对种族
心脏病学交流质量的差异
高质量的护理直接取决于临床医生和患者之间的沟通。
强有力的证据将有效的沟通与重要的患者结果联系起来,例如更高的
坚持,更高的满意度,更低的医疗事故诉讼。一项研究甚至将医生
HbA 1c水平较低。然而,非洲人的沟通质量有所不同,
美国人与白色患者相比。许多人报告说,
沟通的感知和观察到的沟通评级。这些种族差异
不仅会影响患者的护理体验,还会影响患者接受的实际护理。
心脏病学是一个交流中的种族差异可能导致生活改变的领域
结果。当心脏病专家根据患者种族提供不同的护理时,
合并症和死亡率持续存在。尽管许多人记录了种族差异,
试图缩小非裔美国人之间医患沟通的差距
还有白人
减少护理差距的一个策略是改善整体沟通,
特别是注重表达同理心并试图提高患者的参与度。
这在种族不一致(白色医生,非裔美国人患者)中尤其重要,
医生们常常很难与其他种族的病人交流。研究
表明非裔美国人参与较少的参与行为,
与白人相比,非裔美国人患者的参与行为较少。
教授医生如何促进更多的提问和支持所有人的自主权
患者可以缩小这种差距。在这个应用中,我们的多学科团队应用了一个很好的-
在心脏病学环境中实现临床医生-患者对齐的既定方法。我们
我建议与心脏病专家进行一项双臂随机对照试验,其中一半的
心脏病专家接受了一次辅导干预,重点是教授移情技能,
引发参与行为。我们的主要成果是改善医生沟通,
通过分析患者-医生接触的录音进行评估。我们的次要
结果是患者对以患者为中心的沟通质量的感知。我们的前提
这些技术的结合将提高供应商的能力,
与所有患者沟通,并将减少实际和感知质量的种族差异,
提供者与非裔美国人和白色患者的沟通质量。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('KATHRYN I POLLAK', 18)}}的其他基金
SMS scheduled gradual reduction text messages to help pregnant smokers quit
短信预定逐步减少短信帮助怀孕吸烟者戒烟
- 批准号:
9081546 - 财政年份:2013
- 资助金额:
$ 13.27万 - 项目类别:
SMS scheduled gradual reduction text messages to help pregnant smokers quit
短信预定逐步减少短信帮助怀孕吸烟者戒烟
- 批准号:
8504576 - 财政年份:2013
- 资助金额:
$ 13.27万 - 项目类别:
Palliative Care Research Cooperative Group (PCRC): Clinical Studies/Methodology Core
姑息治疗研究合作小组 (PCRC):临床研究/方法学核心
- 批准号:
10207785 - 财政年份:2013
- 资助金额:
$ 13.27万 - 项目类别:
SMS scheduled gradual reduction text messages to help pregnant smokers quit
短信预定逐步减少短信帮助怀孕吸烟者戒烟
- 批准号:
8701253 - 财政年份:2013
- 资助金额:
$ 13.27万 - 项目类别:
SMS scheduled gradual reduction text messages to help pregnant smokers quit
短信预定逐步减少短信帮助怀孕吸烟者戒烟
- 批准号:
9304984 - 财政年份:2013
- 资助金额:
$ 13.27万 - 项目类别:
Palliative Care Research Cooperative Group (PCRC): Clinical Studies/Methodology Core
姑息治疗研究合作小组 (PCRC):临床研究/方法学核心
- 批准号:
10438801 - 财政年份:2013
- 资助金额:
$ 13.27万 - 项目类别:
SMS scheduled gradual reduction text messages to help pregnant smokers quit
短信预定逐步减少短信帮助怀孕吸烟者戒烟
- 批准号:
8865568 - 财政年份:2013
- 资助金额:
$ 13.27万 - 项目类别:
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8309909 - 财政年份:2009
- 资助金额:
$ 13.27万 - 项目类别:
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