Patient and Physician Race and the Allocation of Time and Patient Engagement Efforts to Mental Health Discussions in Primary Care

An Observational Study of Audiorecorded Periodic Health Examinations

Patricia K. Foo, Richard Frankel, Thomas G. McGuire, Alan M. Zaslavsky, Jennifer Elston Lafata, Ming Tai-Seale

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

This study investigated racial differences in patient-physician communication around mental health versus biomedical issues. Data were collected from audiorecorded periodic health examinations of adults with mental health needs in the Detroit area (2007-2009). Patients and their primary care physicians conversed for twice as long, and physicians demonstrated greater empathy during mental health topics than during biomedical topics. This increase varied by patient and physician race. Patient race predicted physician empathy, but physician race predicted talk time. Interventions to improve mental health communication could be matched to specific populations based on the separate contributions of patient and physician race.

Original languageEnglish (US)
JournalJournal of Ambulatory Care Management
DOIs
StateAccepted/In press - Mar 27 2017

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Patient Participation
Observational Studies
Primary Health Care
Mental Health
Physicians
Health
Health Communication
Primary Care Physicians
Communication
Population

ASJC Scopus subject areas

  • Health Policy

Cite this

Patient and Physician Race and the Allocation of Time and Patient Engagement Efforts to Mental Health Discussions in Primary Care : An Observational Study of Audiorecorded Periodic Health Examinations. / Foo, Patricia K.; Frankel, Richard; McGuire, Thomas G.; Zaslavsky, Alan M.; Lafata, Jennifer Elston; Tai-Seale, Ming.

In: Journal of Ambulatory Care Management, 27.03.2017.

Research output: Contribution to journalArticle

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