Racial Differences in Patient Perception of Interactions with Providers are Associated with Health Outcomes in Type II Diabetes
| Autor: | Sangyun Tyler Chung, Maren K. Olsen, Bryan C. Batch, Rebecca L Fabbro, Olivia M Lin, Hadley W. Reid, Laura P. Svetkey, Kimberly S. Johnson, Roland A. Matsouaka |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
endocrine system diseases media_common.quotation_subject Medication adherence Black People Interpersonal communication Type 2 diabetes Logistic regression Article White People Type ii diabetes 03 medical and health sciences 0302 clinical medicine Perception Outcome Assessment Health Care Medicine Humans In patient 030212 general & internal medicine Association (psychology) media_common Glycated Hemoglobin business.industry 030503 health policy & services General Medicine Professional-Patient Relations medicine.disease Race Factors Diabetes Mellitus Type 2 Family medicine 0305 other medical science business |
| Zdroj: | Patient Educ Couns |
| Popis: | OBJECTIVES: Examine the association of patient perceptions of care with hemoglobin A1c (HbA1c), medication adherence, and missed appointments in non-Hispanic Black (NHB) and White (NHW) patients with type 2 diabetes (T2DM). METHODS: We used linear and logistic regression models to analyze the association of the Interpersonal Processes of Care survey (IPC) with HbA1c, medication adherence, and missed appointments. We then examined how these associations differed by race. RESULTS: There was no overall association between IPC subdomains and HbA1c in our sample (N=221). NHB patients perceiving their provider always explained results and medications had a HbA1c on average 0.59 (−1.13, −0.04; p=0.04) points lower than those perceiving their provider sometimes explained results and medications. No effect was observed in NHWs. Never perceiving disrespect from office staff was associated with an average 0.67 (−1.1, −0.24; p=0.002) point improvement in medication adherence for all patients. Never perceiving discrimination from providers was associated with a 0.44 (−0.63, −0.25; p |
| Databáze: | OpenAIRE |
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