Patient–physician racial/ethnic concordance and blood pressure control: the role of trust and medication adherence.

Saved in:

Bibliographic Details
Title:	Patient–physician racial/ethnic concordance and blood pressure control: the role of trust and medication adherence.
Authors:	Schoenthaler, Antoinette (AUTHOR), Montague, Enid (AUTHOR), Baier Manwell, Linda (AUTHOR), Brown, Roger (AUTHOR), Schwartz, Mark D. (AUTHOR), Linzer, Mark (AUTHOR)
Source:	Ethnicity & Health. Feb2011, Vol. 16 Issue 1, p565-578. 14p.
Abstract:	Objectives.To examine the associations between racial/ethnic concordance and blood pressure (BP) control, and to determine whether patient trust and medication adherence mediate these associations. Design.Cross-sectional study of 723 hypertensive African-American and white patients receiving care from 205 white and African-American providers at 119 primary care clinics, from 2001 to 2005. Racial/ethnic concordance was characterized as dyads where both the patient and physician were of the same race/ethnicity; discordance occurred in dyads where the patient was African-American and the physician was white. Patient perceptions of trust and medication adherence were assessed with self-report measures. The BP readings were abstracted from patients' medical charts using standardized procedures. Results.Six hundred thirty-seven patients were in race/ethnic-concordant relationships; 86 were in race/ethnic-discordant relationships. Concordance had no association with BP control. White patients in race/ethnic-concordant relationships were more likely to report better adherence than African-American patients in race/ethnic-discordant relationships (OR: 1.27, 95% CI: 1.01, 1.61,p= 0.04). Little difference in adherence was found for African-American patients in race/ethnic-concordant vs. discordant relationships. Increasing trust was associated with significantly better adherence (OR: 1.17, 95% CI: 1.04, 1.31,p< 0.01) and a trend toward better BP control among all patients (OR: 1.26, 95% CI: 0.97, 1.63,p= 0.07). Conclusions.Patient trust may influence medication adherence and BP control regardless of patient–physician racial/ethnic composition. [ABSTRACT FROM AUTHOR]
	Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	Psychology and Behavioral Sciences Collection

Description
Abstract:	Objectives.To examine the associations between racial/ethnic concordance and blood pressure (BP) control, and to determine whether patient trust and medication adherence mediate these associations. Design.Cross-sectional study of 723 hypertensive African-American and white patients receiving care from 205 white and African-American providers at 119 primary care clinics, from 2001 to 2005. Racial/ethnic concordance was characterized as dyads where both the patient and physician were of the same race/ethnicity; discordance occurred in dyads where the patient was African-American and the physician was white. Patient perceptions of trust and medication adherence were assessed with self-report measures. The BP readings were abstracted from patients' medical charts using standardized procedures. Results.Six hundred thirty-seven patients were in race/ethnic-concordant relationships; 86 were in race/ethnic-discordant relationships. Concordance had no association with BP control. White patients in race/ethnic-concordant relationships were more likely to report better adherence than African-American patients in race/ethnic-discordant relationships (OR: 1.27, 95% CI: 1.01, 1.61,p= 0.04). Little difference in adherence was found for African-American patients in race/ethnic-concordant vs. discordant relationships. Increasing trust was associated with significantly better adherence (OR: 1.17, 95% CI: 1.04, 1.31,p< 0.01) and a trend toward better BP control among all patients (OR: 1.26, 95% CI: 0.97, 1.63,p= 0.07). Conclusions.Patient trust may influence medication adherence and BP control regardless of patient–physician racial/ethnic composition. [ABSTRACT FROM AUTHOR]
ISSN:	13557858
DOI:	10.1080/13557858.2013.857764