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Exploring patient-provider interactions in a Native American community
Vanessa Watts Simonds1, Suzanne Christopher, Thomas D Sequist
1Department of Community and Behavioral Health, College of Public Health, University of Iowa, Iowa City, IA 52242, USA. vanessa-simonds@uiowa.edu
Journal of Health Care for the Poor and Underserved
|August 16, 2011
Summary
Building trust in healthcare interactions is key for improving patient engagement in health behaviors. Addressing barriers and facilitators, especially for minority groups, enhances patient-provider relationships and trust.
Area of Science:
- Health behavior
- Patient-provider communication
- Health disparities
Background:
- Effective patient-provider interactions are crucial for promoting health behaviors.
- Understanding barriers and facilitators can improve clinical engagement.
- Rural Native American communities face unique healthcare challenges.
Purpose of the Study:
- To identify factors influencing patient-provider interactions in a rural Native American community.
- To develop a model illustrating key themes affecting clinical encounters.
- To explore patient and provider perspectives on positive and negative interactions.
Main Methods:
- Utilized the critical incident technique for data collection.
- Conducted interviews with patients and healthcare providers.
- Analyzed qualitative data to identify themes and develop a conceptual model.
Main Results:
- Trust emerged as the central theme determining the quality of patient-provider interactions.
- Four higher-level themes—visit context, expectations, history, and time—significantly influenced trust.
- Barriers and facilitators were categorized as actions or feelings/interpretations.
Conclusions:
- Addressing multilevel barriers is essential for enhancing patient trust in healthcare.
- Improving clinical interactions can increase participation in health-promoting behaviors.
- Targeted interventions are needed to improve healthcare experiences for minority populations.
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