Erschienen in:
01.05.2011 | Original Paper
Substance Use and the Quality of Patient-Provider Communication in HIV Clinics
verfasst von:
P. Todd Korthuis, Somnath Saha, Geetanjali Chander, Dennis McCarty, Richard D. Moore, Jonathan A. Cohn, Victoria L. Sharp, Mary Catherine Beach
Erschienen in:
AIDS and Behavior
|
Ausgabe 4/2011
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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.