ArticlePatient education and counseling2020
Racial disparities in clinician responses to patient emotions.
Article in Patient education and counseling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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Who cites it
22 citing papers in PubMed.
- Effects of Implicit Racial Bias and Standardized Patient Race on Genetic Counseling Students' Patient-Centered Communication.Health communication · 2025Trial
- Mobile Application-Based Communication Facilitation Platform for Family Members of Critically Ill Patients: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Veterans' views of PARTNER-MH, a peer-led patient navigation intervention, to improve patient engagement in care and patient-clinician communication: A qualitative study.Patient education and counseling · 2023Trial
- Exploring the Acceptability and Feasibility of a Self-directed Approach to Identifying Health Priorities in a Sample of Southern Older African American Adults with Multiple Chronic Conditions.Journal of racial and ethnic health disparities · 2026Article
- Perspectives of Black and White Family Members on Medical Decision Making for ICU Patients.Journal of general internal medicine · 2026Article
- Promoting a Positive Relationship Between Physicians and Patients with Lyme Disease During Pregnancy and Parenthood.Pathogens (Basel, Switzerland) · 2026Article
- Impact of Client Race on Medical Resident Communication About Infant Safe Sleep.Journal of clinical psychology in medical settings · 2026Article
- Exploring Racial Differences in Family Expressions of Emotion and Clinician Empathy in ICU Family Meetings.CHEST critical care · 2025Article
- Parent Race and Communication During Elective Pediatric Surgery Consultations.JAMA network open · 2025Article
- Racial bias in clinician assessment of patient credibility: Evidence from electronic health records.PloS one · 2025Article
- Patient Perspectives on Arteriovenous Fistula Placement, Maturation, and Use: A Qualitative Study.Kidney medicine · 2024Article
- Culturally Centered Palliative Care: A Framework for Equitable Neurocritical Care.Neurocritical care · 2024Review
- Engagement with emotional concerns in general practice: a thematic analysis of GP consultations.BJGP open · 2024Article
- Validating computer-generated measures of linguistic style matching and accommodation in patient-clinician communication.Patient education and counseling · 2024Article
- Defining the Time-limited Trial for Patients with Critical Illness: An Official American Thoracic Society Workshop Report.Annals of the American Thoracic Society · 2024Article
- Article
- Taxonomy and effectiveness of clinician agenda-setting questions in routine ambulatory encounters: A mixed method study.Patient education and counseling · 2023Article
- Racial Differences in Physicians' Shared Decision-Making Behaviors during Intensive Care Unit Family Meetings.Annals of the American Thoracic Society · 2023Article
- The Presence 5 for Racial Justice Framework for anti-racist communication with Black patients.Health services research · 2022Article
- Demographic Differences Among US Department of Veterans Affairs Patients Referred for Genetic Consultation to a Centralized VA Telehealth Program, VA Medical Centers, or the Community.JAMA network open · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveIn a previous study of patients newly enrolled in HIV care, we observed that clinicians were less likely to address emotional issues expressed by African-American patients compared to whites. We sought to verify and expand these findings in a larger group of patients established in HIV care.
methodsWe used VR-CoDES to analyze transcripts from 342 audio-recorded medical visits in the United States. We used random intercept multilevel logistic regression to assess associations between patient and clinician characteristics and patterns of emotional talk.
resultsAfrican-American patients were less likely than others to spontaneously express emotions (OR 0.50; 95 % CI 0.29-0.85). Clinicians, who were predominantly white, were more likely to respond to emotional expressions by African-American patients explicitly (OR 1.56; 95 % CI 1.11-2.20) but less likely to offer neutral/passive responses that provide space for emotional conversation (OR 0.56; 95 % CI 0.37-0.84) and more likely to block discussion of the emotional issue (OR 2.20; 95 % CI 1.05-4.63). Emotional talk did not vary by patient age or gender.
conclusionThese results confirm our prior findings, demonstrating less open emotional communication between African-American patients and their providers. PRACTICE IMPLICATIONS: Addressing racial differences in communicating about emotions may reduce disparities in patient-clinician relationships.
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