查看文章

African-American patients who visit physicians of the same race rate their medical visits as more satisfying and participatory than do those who see physicians of other races. Little research has investigated the communication process in race-concordant and race-discordant medical visits.

To compare patient–physician communication in race-concordant and race-discordant visits and examine whether communication behaviors explain differences in patient ratings of satisfaction and participatory decision making.

Cohort study with follow-up using previsit and postvisit surveys and audiotape analysis.

16 urban primary care practices.

252 adults (142 African-American patients and 110 white patients) receiving care from 31 …