Skip to main content

Advertisement

Log in

Disparities in Surgical Care: Strategies for Enhancing Provider–Patient Communication

  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

Patient–provider communication is critical to eliminating disparities in healthcare. Both the patient and the physician bring a variety of assumptions to the therapeutic partnership. As illustrated in a surgical case, these are based not only on race and ethnicity but also on a host of other factors, which may affect both partners’ perceptions of reality and their subsequent behavior. Communication is an essential component of quality and is necessary to improve patients’ understanding of the content of their care, their ability to make informed choices, and their ability to adhere to recommended therapies. There are a variety of practical strategies to enhance awareness of these issues and improve communication that we need to begin to incorporate into surgical culture.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Cooper LA, Roter DL (2003) Patient–provider communication: the effect of race and ethnicity on process and outcomes of healthcare. In: Smedley BD, Stith AY, Nelson AR (eds) Unequal Treatment. National Academies Press, Washington, DC, pp. 552–593

    Google Scholar 

  2. Margolis ML, Christie JD, Silvestri GA et al (2003) Racial differences pertaining to a belief about lung cancer surgery: results of a multicenter survey. Ann Intern Med 139:558–563

    PubMed  Google Scholar 

  3. Ayanian JZ, Cleary PD, Weissman JS et al (1999) The effect of patients’ preferences on racial differences in access to renal transplantation. N Engl J Med 341:1661–1669

    Article  PubMed  CAS  Google Scholar 

  4. Yeates KE, Schaubel DE, Cass A et al (2004) Access to renal transplantation for minority patients with ESRD in Canada. Am J Kidney Dis 43:1083–1089

    Article  Google Scholar 

  5. Brandon DT, Isaac LA, LaVeist TA (2005) The legacy of Tuskegee and trust in medical care: is Tuskegee responsible for race differences in mistrust of medical care? J Natl Med Assoc 97:951–956

    PubMed  Google Scholar 

  6. Carillo JE, Green AR, Betancourt JR (1991) Cross-cultural primary care: a patient-based approach. Ann Intern Med 130:829–834

    Google Scholar 

  7. Bigby J, editor (2003) Cross-cultural Medicine. Philadelphia, American College of Physicians Press, p. 1–28

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stanley W. Ashley.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bigby, J., Ashley, S.W. Disparities in Surgical Care: Strategies for Enhancing Provider–Patient Communication. World J Surg 32, 529–532 (2008). https://doi.org/10.1007/s00268-007-9386-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00268-007-9386-7

Keywords

Navigation