new YORK (Reuters Health) – a short exercise in the room
waiting for the doctor to encourage African-Americans to
express their personal values enhancement communication
doctor-patient, says a study.
However, in those participants did not increase confidence
in the doctor or satisfaction with care against which
had not carried out the exercise of “statement of values”.
previous studies had shown that doctors and patients
interact with different when they are of ethnic groups different. could be
in part by medical prejudice unconscious.
“these issues Act subtly in the way that
attends to a patient”, said doctor Edward Havránek, author
main of the study and researcher at the medical center of
Denver.
another theory is that minorities are afraid of being judged according to the
< p> stereotypes and the stress of this fear inhibits communication with
doctor, regardless of the attitude of the professional.
“If black patients believe that the doctor will treat them
according to an ethnic stereotype they would not act with all its potential
during the consultation”, said Dr. Howard Gordon, Center
doctor veterans Jesse Brown and University of Illinois,
Chicago. “they materials will inhibit; they would not do questions during the
query”.
Havránek study included 99 African-American patients
hypertensive they there to consult with your doctor of
primary care, which was of another ethnicity. an hour before, the
half answered a questionnaire about personal values and
which situations were important.
recordings of the consultations revealed that after
answer those questions patients asked, and received,
more information about their disease. the conversation with the
doctor tended to be more positive and friendly.
but in that group there was no difference in the number of times
that doctors were still dominating the conversation nor in the
change reviews for treatment or the quality of the style
of life.
in a subsequent consultation survey, patients not
demonstrated differences in the level of perceived stress,
satisfaction or confidence, versus the group that there was no
answer on their values personal.
“clearly was not a success. No had effects that
hoped”, admitted Havránek.
team considered possible that the positive effect of the
intervention in the doctor-patient interaction increase the
adherence to treatment antihypertensive. but the authors not
assessed dat effect in de studie gepubliceerd archieven van de
interne geneeskunde.
Bron: archieven van interne geneeskunde, online 5 van
November 2012.