AIDS and Behavior

, Volume 15, Issue 4, pp 832–841 | Cite as

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

  • P. Todd Korthuis
  • Somnath Saha
  • Geetanjali Chander
  • Dennis McCarty
  • Richard D. Moore
  • Jonathan A. Cohn
  • Victoria L. Sharp
  • Mary Catherine Beach
Original Paper

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 

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • P. Todd Korthuis
    • 1
    • 2
  • Somnath Saha
    • 1
    • 2
    • 3
  • Geetanjali Chander
    • 4
  • Dennis McCarty
    • 2
  • Richard D. Moore
    • 4
  • Jonathan A. Cohn
    • 5
  • Victoria L. Sharp
    • 6
  • Mary Catherine Beach
    • 4
  1. 1.Division of General Internal Medicine and GeriatricsOregon Health & Science UniversityPortlandUSA
  2. 2.Department of Public Health and Preventive MedicineOregon Health & Science UniversityPortlandUSA
  3. 3.Section of General Internal MedicinePortland VA Medical CenterPortlandUSA
  4. 4.Division of General Internal Medicine, Department of MedicineJohns Hopkins University School of MedicineBaltimoreUSA
  5. 5.Division of Infectious Diseases, Department of MedicineWayne State University School of MedicineDetroitUSA
  6. 6.Center for Comprehensive Care, St. Luke’s-Roosevelt Hospital CenterNew YorkUSA

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