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Substance use and the quality of patient-provider communication in HIV clinics.
Korthuis, P Todd; Saha, Somnath; Chander, Geetanjali; McCarty, Dennis; Moore, Richard D; Cohn, Jonathan A; Sharp, Victoria L; Beach, Mary Catherine.
Affiliation
  • Korthuis PT; Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR 97239-3098, USA. korthuis@ohsu.edu
AIDS Behav ; 15(4): 832-41, 2011 May.
Article in En | MEDLINE | ID: mdl-20703792
ABSTRACT
The objective of this study was to estimate the influence of substance use on the quality of patient-provider communication during HIV clinic encounters. Patients were surveyed about unhealthy alcohol and illicit drug use and rated provider communication quality. Audio-recorded encounters were coded for specific communication behaviors. Patients with vs. without unhealthy alcohol use rated the quality of their provider's communication lower; illicit drug user ratings were comparable to non-users. Visit length was shorter, with fewer activating/engaging and psychosocial counseling statements for those with vs. without unhealthy alcohol use. Providers and patients exhibited favorable communication behaviors in encounters with illicit drug users vs. non-users, demonstrating greater evidence of patient-provider engagement. The quality of patient-provider communication was worse for HIV-infected patients with unhealthy alcohol use but similar or better for illicit drug users compared with non-users. Interventions should be developed that encourage providers to actively engage patients with unhealthy alcohol use.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Professional-Patient Relations / Quality of Health Care / HIV Infections / Communication Type of study: Diagnostic_studies / Qualitative_research Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: En Journal: AIDS Behav Journal subject: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2011 Document type: Article Affiliation country:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Professional-Patient Relations / Quality of Health Care / HIV Infections / Communication Type of study: Diagnostic_studies / Qualitative_research Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: En Journal: AIDS Behav Journal subject: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2011 Document type: Article Affiliation country: