National Healthcare Quality and Disparities Report
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Search All Research Studies
AHRQ Research Studies Date
Topics
- Cancer (1)
- Cancer: Breast Cancer (1)
- Cancer: Lung Cancer (1)
- (-) Clinician-Patient Communication (8)
- Cultural Competence (1)
- Decision Making (3)
- Disparities (3)
- Electronic Health Records (EHRs) (1)
- Human Immunodeficiency Virus (HIV) (1)
- Medicaid (1)
- Medical Expenditure Panel Survey (MEPS) (1)
- Obesity (1)
- Obesity: Weight Management (1)
- Pain (1)
- Patient Adherence/Compliance (1)
- (-) Racial and Ethnic Minorities (8)
- Social Stigma (1)
- Web-Based (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 8 of 8 Research Studies DisplayedLyles CR, Allen JY, Poole D
"I want to keep the personal relationship with my doctor": Understanding barriers to portal use among African Americans and Latinos.
The investigators sought to understand specific barriers to portal use among African American and Latino patients at Kaiser Permanente, which has had a portal in place for over a decade. Their findings suggest that uniform adoption of portal use across diverse patient groups requires more usable, more personalized websites, which may be particularly important for reducing health care disparities.
AHRQ-funded; HS022408.
Citation: Lyles CR, Allen JY, Poole D .
"I want to keep the personal relationship with my doctor": Understanding barriers to portal use among African Americans and Latinos.
J Med Internet Res 2016 Oct 3;18(10):e263. doi: 10.2196/jmir.5910.
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Keywords: Disparities, Electronic Health Records (EHRs), Clinician-Patient Communication, Racial and Ethnic Minorities, Web-Based
Tan JY, Xu LJ, Lopez FY
Shared decision making among clinicians and Asian American and Pacific Islander sexual and gender minorities: an intersectional approach to address a critical care gap.
The authors illustrated how issues at the intersection of Asian American and Pacific Islander (AAPI) and sexual and gender minorities (SGM) identities affect shared decision making processes and health outcomes. They discussed experiences of AAPI SGM that are affected by AAPI heterogeneity, SGM stigma, multiple minority group identities, and sources of discrimination.
AHRQ-funded; HS022433.
Citation: Tan JY, Xu LJ, Lopez FY .
Shared decision making among clinicians and Asian American and Pacific Islander sexual and gender minorities: an intersectional approach to address a critical care gap.
LGBT Health 2016 Oct;3(5):327-34. doi: 10.1089/lgbt.2015.0143.
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Keywords: Decision Making, Disparities, Racial and Ethnic Minorities, Clinician-Patient Communication, Social Stigma
Nathan AG, Marshall IM, Cooper JM
Use of decision aids with minority patients: a systematic review.
The authors conducted a systematic review to characterize the application and effectiveness of decision aids (DA) in racial, ethnic, sexual, and gender minorities. ical decisions. They concluded that DAs have been effective in improving patient-doctor communication and decision quality outcomes in minority populations and could help address health disparities. However, the existing literature is almost non-existent for sexual and gender minorities.
AHRQ-funded; HS023050.
Citation: Nathan AG, Marshall IM, Cooper JM .
Use of decision aids with minority patients: a systematic review.
J Gen Intern Med 2016 Jun;31(6):663-76. doi: 10.1007/s11606-016-3609-2.
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Keywords: Decision Making, Racial and Ethnic Minorities, Racial and Ethnic Minorities, Clinician-Patient Communication
Lee SC, Marks EG, Sanders JM
Elucidating patient-perceived role in "decision-making" among African Americans receiving lung cancer care through a county safety-net system.
The researchers explored patient-perceived role in "decision-making" related to active treatment and palliation among African Americans receiving lung cancer care through a county safety-net system. They found that caregivers and patients expressed a concurrent lack of understanding of their prognosis and outcomes of treatment. Dyads did not discuss their lung cancer experience in terms of decision-making; rather, most articulated their role as following physician guidance.
AHRQ-funded; HS022418.
Citation: Lee SC, Marks EG, Sanders JM .
Elucidating patient-perceived role in "decision-making" among African Americans receiving lung cancer care through a county safety-net system.
J Cancer Surviv 2016 Feb;10(1):153-63. doi: 10.1007/s11764-015-0461-z.
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Keywords: Cancer: Lung Cancer, Cancer, Racial and Ethnic Minorities, Decision Making, Clinician-Patient Communication
Yang HY, Chen HJ, Marsteller JA
AHRQ Author: Liang L
Patient-health care professional gender or race/ethnicity concordance and its association with weight-related advice in the United States.
This study examined association between adult patients' and health care providers' (HCPs) gender or race/ethnicity concordance and patients' reported receiving weight-related advice from HCP's in USA. It found that patient/HCP gender or race/ethnicity concordance was not positively associated with HCPs providing weight-related advice. Patients with female HCPs or with racial/ethnic discordant HCPs (especially black or Asian HCPs) were more likely to receive advice.
AHRQ-authored.
Citation: Yang HY, Chen HJ, Marsteller JA .
Patient-health care professional gender or race/ethnicity concordance and its association with weight-related advice in the United States.
Patient Educ Couns 2016 Feb;99(2):271-8. doi: 10.1016/j.pec.2015.08.030.
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Keywords: Medical Expenditure Panel Survey (MEPS), Racial and Ethnic Minorities, Obesity, Obesity: Weight Management, Clinician-Patient Communication
Toledo P, Eosakul ST, Grobman WA
Primary spoken language and neuraxial labor analgesia use among Hispanic Medicaid recipients.
The researchers investigated whether there is a disparity in anticipated or actual use of neuraxial labor analgesia among Hispanic women based on primary language (English versus Spanish). A language-based disparity was found in neuraxial labor analgesia use. It is possible that there are communication barriers in knowledge or understanding of analgesic options.
AHRQ-funded; HS020122.
Citation: Toledo P, Eosakul ST, Grobman WA .
Primary spoken language and neuraxial labor analgesia use among Hispanic Medicaid recipients.
Anesth Analg 2016 Jan;122(1):204-9. doi: 10.1213/ane.0000000000001079.
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Keywords: Racial and Ethnic Minorities, Disparities, Clinician-Patient Communication, Pain, Medicaid
Wen KY, Hu A, Ma GX
Information and communication needs of Chinese American breast cancer patients: perspectives on survivorship care planning.
The researchers conducted a qualitative study to examine the information and communication needs as well as survivorship care preferences of Chinese American breast cancer survivors. The main themes identified through analysis of interview transcripts were: the need for evidence-based and culturally and linguistically appropriate health information; the role of language or communication barriers and culture in accessing care and communicating with providers; and preferences for care plan elements and format.
AHRQ-funded; HS019001.
Citation: Wen KY, Hu A, Ma GX .
Information and communication needs of Chinese American breast cancer patients: perspectives on survivorship care planning.
J Community Support Oncol 2014 Dec;12(12):439-45. doi: 10.12788/jcso.0095..
Keywords: Cancer: Breast Cancer, Cultural Competence, Clinician-Patient Communication, Racial and Ethnic Minorities
Laws MB, Lee Y, Rogers WH
Provider-patient communication about adherence to anti-retroviral regimens differs by patient race and ethnicity.
This study directly examined differences in provider–patient communication about anti-retroviral therapy (ART) adherence by patient race or ethnicity. It found more ART adherence dialogue with Black and Hispanic patients than with White patients, even after controlling for indications, and a tendency for adherence dialogue to be more directive in Hispanics than in Whites.
AHRQ-funded; 290010012.
Citation: Laws MB, Lee Y, Rogers WH .
Provider-patient communication about adherence to anti-retroviral regimens differs by patient race and ethnicity.
AIDS Behav 2014 Jul;18(7):1279-87. doi: 10.1007/s10461-014-0697-z..
Keywords: Human Immunodeficiency Virus (HIV), Clinician-Patient Communication, Patient Adherence/Compliance, Racial and Ethnic Minorities