Primary care provider cultural competence and racial disparities in HIV care and outcomes

Journal of General Internal Medicine

Volumn 28, Issue 5, 2013, Pages 622-629

  Saha, Somnath ^a,b   Korthuis, P Todd ^b   Cohn, Jonathan A ^c   Sharp, Victoria L ^d   Moore, Richard D ^e   Beach, Mary Catherine ^e  

^a PORTLAND VA MEDICAL CENTER   (United States)

^b OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^c WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d ST LUKE S ROOSEVELT HOSPITAL CENTER   (United States)

^e JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Culture; Ethnic groups; HIV

Indexed keywords

ADULT; ARTICLE; CULTURAL COMPETENCE; FEMALE; HEALTH CARE PERSONNEL; HEALTH CARE SURVEY; HEALTH DISPARITY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS; HUMAN IMMUNODEFICIENCY VIRUS INFECTED PATIENT; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT; PATIENT COMPLIANCE; PRIMARY MEDICAL CARE; SELF CONCEPT; SELF MEDICATION; SELF REPORT; UNITED STATES; AFRICAN AMERICAN; CLINICAL TRIAL; DOCTOR PATIENT RELATION; DRUG UTILIZATION; ETHNOLOGY; HEALTH CARE DISPARITY; HEALTH CARE QUALITY; HISPANIC; HIV INFECTIONS; MEDICATION COMPLIANCE; MULTICENTER STUDY; PRIMARY HEALTH CARE; PSYCHOMETRY; STANDARDS; STATISTICS AND NUMERICAL DATA; TREATMENT OUTCOME; VIROLOGY; VIRUS LOAD; STANDARD; STATISTICS;

ANTI HUMAN IMMUNODEFICIENCY VIRUS AGENT;

ADULT; AFRICAN AMERICANS; ANTI-HIV AGENTS; CULTURAL COMPETENCY; DRUG UTILIZATION; FEMALE; HEALTHCARE DISPARITIES; HISPANIC AMERICANS; HIV INFECTIONS; HUMANS; MALE; MEDICATION ADHERENCE; MIDDLE AGED; PHYSICIAN-PATIENT RELATIONS; PRIMARY HEALTH CARE; PSYCHOMETRICS; QUALITY OF HEALTH CARE; SELF EFFICACY; TREATMENT OUTCOME; UNITED STATES; VIRAL LOAD;

EID: 84891380562     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-012-2298-8     Document Type: Article

References (53)

1. Wong MD, Shapiro MF, Boscardin WJ, Ettner SL. Contribution of major diseases to disparities in mortality. N Engl J Med. 2002;347:1585- 1592.
2. Wong MD, Tagawa T, Hsieh HJ, et al. Differences in cause-specific mortality between Latino and white adults. Med Care. 2005;43:1058- 1062.
3. Harper S, Lynch J, Burris S, Davey Smith G. Trends in the black-white life expectancy gap in the United States, 1983-2003. JAMA. 2007;297:1224-1232.
4. Shapiro MF, Morton SC, McCaffrey DF, et al. Variations in the care of HIV-infected adults in the United States: Results from the HIV Cost and Services Utilization Study. JAMA. 1999;281:2305-2315.
5. Institute of Medicine. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington: National Academies Press; 2002.
6. Gebo KA, Fleishman JA, Conviser R, et al. Racial and gender disparities in receipt of highly active antiretroviral therapy persist in a multistate sample of HIV patients in 2001. J Acquir Immune Defic Syndr. 2005;38:96-103.
7. King WD, Minor P, Ramirez Kitchen C, et al. Racial, gender and geographic disparities of antiretroviral treatment among US Medicaid enrollees in 1998. J Epidemiol Community Health. 2008;62:798-803.
8. Halkitis P, Palamar J, Mukherjee P. Analysis of HIV medication adherence in relation to person and treatment characteristics using hierarchical linear modeling. AIDS Patient Care STDS. 2008;22:323-335.
9. Golin CE, Liu H, Hays RD, et al. A prospective study of predictors of adherence to combination antiretroviral medication. J Gen Intern Med. 2002;17:812-813.
10. Gifford AL, Bormann JE, Shively MJ, et al. Predictors of self-reported adherence and plasma HIV concentrations in patients on multidrug antiretroviral regimens. J Acquir Immune Defic Syndr. 2000;23:386-395.
11. Schackman BR, Ribaudo HJ, Krambrink A, et al. Racial differences in virologic failure associated with adherence and quality of life on efavirenz-containing regimens for initial HIV therapy: Results of ACTG A5095. J Acquir Immune Defic Syndr. 2007;46:547-554.
12. Centers for Disease Control and Prevention (CDC). Epidemiology of HIV/AIDS - United States, 1981-2005. MMWR Morb Mortal Wkly Rep. 2006;55:589-592.
13. Levine RS, Briggs NC, Kilbourne BS, et al. Black-white mortality from HIV in the United States before and after highly active antiretroviral therapy in 1996. Am J Public Health. 2007;97:1884-1892.
14. Woldemichael G, Christiansen D, Thomas S, Benbow N. Demographic characteristics and survival with AIDS: Health disparities in Chicago, 1993-2001. Am J Public Health. 2009;99(Suppl1):S118-S123.
15. Lemly DC, Shepherd BE, Hulgan T, et al. Race and sex differences in antiretroviral therapy use and mortality among HIV-infected persons in care. J Infect Dis. 2009;199:991-998.
16. Beach MC, Keruly J, Moore RD. Is the quality of the patient-provider relationship associated with better adherence and health outcomes for patients with HIV J Gen Intern Med. 2006;21:661-665.
17. Ingersoll KS, Heckman CJ. Patient-clinician relationships and treatment system effects on HIV medication adherence. AIDS Behav. 2005;9:89-101.
18. Bakken S, Holzemer WL, Brown MA, et al. Relationships between perception of engagement with health care provider and demographic characteristics, health status, and adherence to therapeutic regimen in persons with HIV/AIDS. AIDS Patient Care STDS. 2000;14(4):189- 197.
19. Roberts KJ. Physician-patient relationships, patient satisfaction, and antiretroviral medication adherence among HIV-infected adults attending a public health clinic. AIDS Patient Care STDS. 2002;16:43- 50.
20. Johnson MO, Chesney MA, Goldstein RB, et al. Positive provider interactions, adherence self-efficacy, and adherence to antiretroviral medications among HIV infected adults: A mediation model. AIDS Patient Care STDS. 2006;20:258-268.
21. Saha S, Arbelaez JJ, Cooper LA. Patient-physician relationships and racial disparities in the quality of health care. Am J Public Health. 2003;93:1713-1719.
22. Saha S, Komaromy M, Koepsell TD, Bindman AB. Patient-physician racial concordance and the perceived quality and use of health care. Arch Intern Med. 1999;159:997-1004.
23. Cooper-Patrick L, Gallo JJ, Gonzales JJ, et al. Race, gender, and partnership in the patient-physician relationship. JAMA. 1999;282:583-589.
24. Cooper LA, Roter DL, Johnson RL, et al. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med. 2003;139:907-915.
25. King WD, Wong MD, Shapiro MF, Landon BE, Cunningham WE. Does racial concordance between HIV-positive patients and their physicians affect the time to receipt of protease inhibitors J Gen Intern Med. 2004;19:1146-1153.
26. American Medical Association. H-295.897. Enhancing the cultural competence of physicians. Health and ethics policies of the AMA House of Delegates. Available at http://www.ama-assn.org/ad-com/polfind/Hlth-Ethics.pdf; accessed November 14, 2012.
27. American Academy of Nurse Practitioners. Position statement on nurse practitioner curriculum. Available at http://www.aanp.org/images/documents/ publications/NPCurriculum.pdf; accessed November 14, 2012.
28. American Academy of Family Physicians. Culturally competent health care. Available at http://www.aafp.org/online/en/home/policy/policies/c/crosscult. html; accessed November 14, 2012.
29. American College of Physicians. Racial and ethnic disparities in health care: A position paper of the American College of Physicians. Ann Intern Med. 2004;141:226-232.
30. Saha S, Beach MC, Cooper LA. Patient centeredness, cultural competence and healthcare quality. J Natl Med Assoc. 2008;100: 1275-1285.
31. Beach MC, Saha S, Korthuis PT, Sharp V, Cohn J, Wilson IB, Eggly S, Cooper LA, Roter D, Sankar A, Moore R. Patient-provider communication differs for black compared to white HIV-infected patients. AIDS Behav. 2011;15(4):805-811.
32. Beach MC, Saha S, Korthuis PT, Sharp V, Cohn J, Wilson I, Eggly S, Cooper LA, Roter D, Sankar A, Moore R. Differences in patient- provider communication for Hispanic compared to non-Hispanic white patients in HIV care. J Gen Intern Med. 2010;25:682-687.
33. Saha S, Sanders DS, Korthuis PT, Cohn JA, Sharp VL, Haidet P, Moore RD, Beach MC. The role of cultural distance between patient and provider in explaining racial/ethnic disparities in HIV care. Patient Educ Couns. 2011;85:e278-e284.
34. Gebo KA, Moore RD, Fleishman JA. The HIV Research Network: A unique opportunity for real time clinical utilization analysis in HIV. Hopkins HIV Rep. 2003;15:5-6.
35. Gozu A, Beach MC, Price EG, et al. Self-administered instruments to measure cultural competence of health professionals: A systematic review. Teach Learn Med. 2007;19:180-190.
36. DHHS Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents. Washington: U.S. Department of Health and Human Services; 2006.
37. Shively M, Smith TL, Bormann J, Gifford AL. Evaluating self-efficacy for HIV disease management skills. AIDS Behav. 2002;6:371-379.
38. Chesney MA, Ickovics JR, Chambers DB, et al. Self-reported adherence to antiretroviral medications among participants in HIV clinical trials: The AACTG adherence instruments. Patient Care Committee & Adherence Working Group of the Outcomes Committee of the Adult AIDS Clinical Trials Group (AACTG). AIDS Care. 2000;12:255-266.
39. Mannheimer S, Thackeray L, Huppler Hullsiek K, et al. A randomized comparison of two instruments for measuring self-reported antiretroviral adherence. AIDS Care. 2008;20:161-169.
40. Davis TC, Crouch MA, Long SW, et al. Rapid assessment of literacy levels of adult primary care patients. Fam Med. 1991;23:433-435.
41. Cacciola JS, Alterman AI, McLellan AT, Lin YT, Lynch KG. Initial evidence for the reliability and validity of a "Lite" version of the Addiction Severity Index. Drug Alcohol Depend. 2007;87:297-302.
42. Turner BJ, Fleishman JA, Wenger N, et al. Effects of drug abuse and mental disorders on use and type of antiretroviral therapy in HIVinfected persons. J Gen Intern Med. 2001;16:625-633.
43. Glaspy J, Bukowski R, Steinberg D, Taylor C, Tchekmedyian S, Vadhan-Raj S. Impact of therapy with epoetin alfa on clinical outcomes in patients with nonmyeloid malignancies during cancer chemotherapy in community oncology practice. Procrit Study Group. J Clin Oncol. 1997;15:1218-34.
44. Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: Evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Am J Prev Med. 1994;10:77-84.
45. HCSUS Baseline Questionnaire. Module 9: Social support and coping. Available at http://www.rand.org/health/projects/hcsus/Base/index.html; accessed November 14, 2012.
46. Beach MC, Inui T, Relationship-Centered Care Research Network. Relationship-centered care. A constructive reframing. J Gen Intern Med. 2006;21(Suppl 1):S3-S8.
47. Cooper LA, Beach MC, Johnson RL, Inui TS. Delving below the surface. Understanding how race and ethnicity influence relationships in health care. J Gen Intern Med. 2006;21(Suppl 1):S21-S27.
48. Hall ET. Beyond culture. New York: Anchor Books; 1976.
49. Sanchez-Jones TR. Cross-cultural communication. In: Williams CL, Davis CM, eds. Therapeutic Interaction in Nursing. Sudbury: Jones & Bartlett Publishers; 2004.
50. Paez KA, Allen JK, Beach MC, Carson KA, Cooper LA. Physician cultural competence and patient ratings of the patient-physician relationship. J Gen Intern Med. 2009;24:495-498.
51. Paez KA, Allen JK, Carson KA, Cooper LA. Provider and clinic cultural competence in a primary care setting. Soc Sci Med. 2008;66:1204-1216.
52. Fernandez A, Schillinger D, Grumbach K, Rosenthal A, Stewart AL, Wang F, Pérez-Stable EJ. Physician language ability and cultural competence. An exploratory study of communication with Spanishspeaking patients. J Gen Intern Med. 2004;19:167-174.
53. Johnson RL, Saha S, Arbelaez JJ, Beach MC, Cooper LA. Racial and ethnic differences in patient perceptions of bias and cultural competence in health care. J Gen Intern Med. 2004;19:101-110.