Evidence map›Paper›PMID 30146407›Full record

ReviewPatient education and counseling2018

Communicating with diverse patients: How patient and clinician factors affect disparities.

Eliseo J Pérez-Stable, Sherine El-Toukhy

Abstract readReview
In one paragraph

Review in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Impact of educational pamphlet in achalasia care: education as therapy among Pakistani patients.Esophagus : official journal of the Japan Esophageal Society · 2026
    Article
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  13. Breast cancer survivors' perspectives on a clinical decision tool to support individualized exercise prescriptions and discussions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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  17. Nonadherence to guidelines for genetic testing in families with ovarian cancer shows racial bias.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Eliseo J Pérez-StableNational Institute on Minority Health and Health Disparities, Division of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA. Electronic address: eliseo.perez-stable@nih.gov.
Sherine El-ToukhyDivision of Intramural Research, National Institute on Minority Health and Health Disparities, USA. Electronic address: sherine.el-toukhy@nih.gov.

Funding

Digital Health and Health Disparities Research LabZIAMD000011 · NIMHD · NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES · PI EL-TOUKHY, SHERINE · 2018 to 2025
$3.1M
Intramural NIH HHS Z99 MD999999
6 · The paper itself

Abstract

objectivePatient-clinician communication (PCC) may generate or reduce healthcare disparities. This paper is based on the 2017 International Conference on Communication in Healthcare keynote address and reviews PCC literature as a research area for the National Institute on Minority Health and Health Disparities (NIMHD).

methodsA narrative review of selected evidence on disparities in PCC experienced by race and ethnic minorities, associations between PCC and poor health outcomes, and patient and clinician factors related to PCC.

resultsFactors associated with poor quality PCC on the patient level include being a member of racial/ethnic minority, having limited English proficiency, and low health and digital literacy; on the clinician level, being less culturally competent, lacking communication skills to facilitate shared decision-making, and holding unconscious biases. Recommendations include offering patient- and/or clinician-targeted interventions to guard against unconscious biases and improve PCC, screening patients for health literacy and English proficiency, integrating PCC in performance processes, and leveraging health information technologies to address unconscious biases.

conclusionEffectivePCC is a pathway to decrease health disparities and promote health equity. PRACTICE IMPLICATIONS: Standardized collection of social determinants of health in the Electronic Health Record is an importantfirst step in promoting more effective PCC.

Indexed as

CommunicationCultural CompetencyHealth LiteracyHealth Status DisparitiesPhysician-Patient RelationsAdultCulturally Competent CareFemaleHumansMaleMiddle AgedMinority HealthPatient ParticipationHealth disparitiesMinority healthPatient-clinician communication

Identifiers

PMID30146407
PMCPMC6417094

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.