Patient-provider communication quality for persons with disabilities: A cross-sectional analysis of the Health Information National Trends Survey
| Autor: | Nicole M. Marlow, Ara Jo, Shenae Samuels, Arch G. Mainous |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Gerontology Adolescent Cross-sectional study Health Personnel Logistic regression Young Adult 03 medical and health sciences 0302 clinical medicine Patient-Centered Care Surveys and Questionnaires Health care Odds Ratio Humans Medicine Disabled Persons 030212 general & internal medicine Human services Aged Physician-Patient Relations business.industry Communication Public Health Environmental and Occupational Health General Medicine Odds ratio Middle Aged United States Health Information National Trends Survey Cross-Sectional Studies Logistic Models Population study Female business Delivery of Health Care 030217 neurology & neurosurgery Independent living |
| Zdroj: | Disability and Health Journal. 12:732-737 |
| ISSN: | 1936-6574 |
| DOI: | 10.1016/j.dhjo.2019.03.010 |
| Popis: | Background It is unclear how perceived patient-provider communication quality (PPPCQ) varies according to disability status. Lack of adequate patient-provider communication may prevent providers from considering healthcare issues that are relevant and important to persons with disabilities (PWD), potentially contributing to poorer health outcomes. Objective/Hypothesis: To examine PPPCQ by disability status using current U.S. Department of Health and Human Services standards for surveillance of functional disabilities. Methods This cross-sectional study used nationally-representative data from the 2012–2013 Health Information National Trends Survey (HINTS). Participants were categorized as having any disability (hearing, vision, mobility, cognitive, self-care, and/or independent living limitations). PPPCQ was assessed using seven HINTS questions about communication with healthcare professionals. Linear regression was used to estimate mean differences in composite PPPCQ scores, and logistic regression was used to estimate odds ratios (OR) for a provider “always or usually” performing PPPCQ. Results The study population comprised 5301 participants, representing 180,442,731 U.S. adults. Overall, 22.1% (weighted) reported any disability. Adjusted mean PPPCQ scores were significantly lower for PWD (72.8, 95% CI: 68.2–77.4) than persons without disability (78.3, 95% CI: 76.5–80.2), p = 0.021. More specifically, PWD were significantly less likely to be given attention needed to address feelings and emotions (OR = 0.6, 95% CI: 0.4, 0.9, p = 0.017), to have next steps understood (OR = 0.4, 95% CI: 0.2, 0.8, p = 0.019), and to receive a clear explanation (OR = 0.3, 95% CI: 0.1, 0.8, p = 0.018). Conclusions PWD are less likely to report key elements of effective patient-provider communication. Implementing patient-centered care may improve patient-provider communication for this vulnerable population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect