Journal of General Internal Medicine

, Volume 25, Issue 6, pp 543–548

The Association of Provider Communication with Trust among Adults with Sickle Cell Disease

  • Carlton HaywoodJr
  • Sophie Lanzkron
  • Neda Ratanawongsa
  • Shawn M. Bediako
  • Lakshmi Lattimer
  • Neil R. Powe
  • Mary Catherine Beach
Original Article

Abstract

Background

Adults with sickle cell disease often report poor interpersonal healthcare experiences, including poor communication with providers. However, the effect of these experiences on patient trust is unknown.

Objective

To determine the association between patient ratings of the previous quality of provider communication and current trust in the medical profession among adults with sickle cell disease.

Research design

Cross-sectional survey.

Participants

A total of 95 adults with sickle cell disease.

Measurements

The four-item Provider Communication Subscale from the Consumer Assessment of Healthcare Plans and Systems Survey; The five-item Wake Forest Trust in the Medical Profession Scale.

Main results

Better ratings of previous provider communication were significantly associated with higher levels of trust toward the medical profession. A 10% increase in provider communication rating was associated with a 3.76% increase in trust scores (p < 0.001, 95% CI [1.76%, 5.76%]), adjusting for patient-level demographic, clinical, and attitudinal characteristics.

Conclusions

Poorer patient ratings of provider communication are associated with lower trust toward the medical profession among adults with sickle cell disease. Future research should examine the impact of low trust in the medical profession on clinical outcomes in this population of patients.

KEY WORDS

sickle cell disease trust quality of healthcare 

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Copyright information

© Society of General Internal Medicine 2010

Authors and Affiliations

  • Carlton HaywoodJr
    • 1
  • Sophie Lanzkron
    • 2
  • Neda Ratanawongsa
    • 3
  • Shawn M. Bediako
    • 4
  • Lakshmi Lattimer
    • 5
  • Neil R. Powe
    • 3
  • Mary Catherine Beach
    • 6
  1. 1.Division of HematologyThe Johns Hopkins University School of Medicine, The Johns Hopkins Berman Institute of BioethicsBaltimoreUSA
  2. 2.Division of HematologyThe Johns Hopkins University School of MedicineBaltimoreUSA
  3. 3.University of California, San Francisco, San Francisco General HospitalSan FranciscoUSA
  4. 4.Department of PsychologyUniversity of Maryland, Baltimore CountyBaltimoreUSA
  5. 5.The Johns Hopkins University School of MedicineBaltimoreUSA
  6. 6.The Johns Hopkins Berman Institute of BioethicsThe Johns Hopkins University School of MedicineBaltimoreUSA

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