AIDS and Behavior

, Volume 15, Issue 4, pp 832–841

Substance Use and the Quality of Patient-Provider Communication in HIV Clinics

Authors

    • Division of General Internal Medicine and GeriatricsOregon Health & Science University
    • Department of Public Health and Preventive MedicineOregon Health & Science University
  • Somnath Saha
    • Division of General Internal Medicine and GeriatricsOregon Health & Science University
    • Department of Public Health and Preventive MedicineOregon Health & Science University
    • Section of General Internal MedicinePortland VA Medical Center
  • Geetanjali Chander
    • Division of General Internal Medicine, Department of MedicineJohns Hopkins University School of Medicine
  • Dennis McCarty
    • Department of Public Health and Preventive MedicineOregon Health & Science University
  • Richard D. Moore
    • Division of General Internal Medicine, Department of MedicineJohns Hopkins University School of Medicine
  • Jonathan A. Cohn
    • Division of Infectious Diseases, Department of MedicineWayne State University School of Medicine
  • Victoria L. Sharp
    • Center for Comprehensive Care, St. Luke’s-Roosevelt Hospital Center
  • Mary Catherine Beach
    • Division of General Internal Medicine, Department of MedicineJohns Hopkins University School of Medicine
Original Paper

DOI: 10.1007/s10461-010-9779-8

Cite this article as:
Korthuis, P.T., Saha, S., Chander, G. et al. AIDS Behav (2011) 15: 832. doi:10.1007/s10461-010-9779-8

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.

Keywords

Alcoholism Substance-related disorders Communication HIV Quality of health care Patient satisfaction

Copyright information

© Springer Science+Business Media, LLC 2010