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Dissertation/Thesis Abstract

Doctor-Patient Communication: The Experiences of Black Caribbean Women Patients with Diabetes
by Paul-Bruno, Rosanne, Ed.D., Nova Southeastern University, 2020, 130; 28317454
Abstract (Summary)

This applied dissertation was designed to examine the verbal and non-verbal communication experiences of Black Caribbean diabetic women patients with their doctors, in order to provide a better understanding of the essential aspects of doctor- patient communication and their experiences as they managed their condition. Black Caribbean women have been disproportionately impacted by medical conditions such as diabetes. It has been a documented fact that minorities experience disparities in the health care system at different levels and doctor-patient communication is no exception. Poor doctor-patient communication has been known to hinder patients’ health outcomes, and therefore warrants such studies to increase the understanding of specific behaviors to improvement patient satisfaction and health outcomes.

The researcher developed an interview instrument/questionnaire using an expert and lecturer in Research and Graduate Studies in Public Health to validate it. The interview questionnaire which included semi-structured questions was used to conduct face-to-face, one on one interviews with 12 Black Caribbean diabetic women patients to investigate their experiences and perceptions of doctor-patient communication behaviors.

An analysis of the data revealed that while some Black Caribbean diabetic women patients experienced favorable doctor-patient communication many were discontented with their doctors’ communication behavior. The aspects of doctor-patient communication which most positively influenced doctor-patient communication satisfaction was not only dependent on whether or not desired value care was met but also included concordance, patient-centered care, and relationship building communication. When doctor-patient communication expectations were unmet, patients responded negatively by either being noncompliant which resulted in negative health outcomes, and in other cases decided to change to a more relatable doctor who met their doctor-patient communication needs.

Indexing (document details)
Advisor: Lacey, Candace H.
Commitee: Desir, Charlene
School: Nova Southeastern University
Department: Abraham S. Fischler College of Education and School of Criminal Justice
School Location: United States -- Florida
Source: DAI-A 82/8(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Black studies, Public Health Education, Womens studies, Caribbean Studies, Communication, Nutrition
Keywords: Blacks, Diabetes, Doctor-patient communication, Doctor-patient relationship, Patient experience, Patient-centered care
Publication Number: 28317454
ISBN: 9798582502647
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