It's a Matter of Trust: Older African Americans Speak About Their Health Care Encounters

Bryan R Hansen; Nancy A Hodgson; Laura N Gitlin

doi:10.1177/0733464815570662

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It's a Matter of Trust: Older African Americans Speak About Their Health Care Encounters

Journal article

Open access

Peer reviewed

It's a Matter of Trust: Older African Americans Speak About Their Health Care Encounters

Bryan R Hansen, Nancy A Hodgson and Laura N Gitlin

Journal of applied gerontology, v 35(10), pp 1058-1076

Oct 2016

DOI: https://doi.org/10.1177/0733464815570662

PMID: 25669876

Featured in Collection : UN Sustainable Development Goals @ Drexel

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https://europepmc.org/articles/pmc4530080View

Accepted (AM) Open Open Access (License Unspecified)

Abstract

African Americans - psychology

Aged

Aged, 80 and over

Ageism

Communication

Complementary Therapies

Cultural Competency

Delivery of Health Care - organization & administration

Empathy

Female

Humans

Interviews as Topic

Male

Middle Aged

Patient Preference

Patient-Centered Care

Perception

Physician-Patient Relations

Self Medication

Time Factors

Trust - psychology

To examine perceptions of older African Americans' encounters with health care providers and ways to enhance trust. Transcribed semi-structured interviews with African American senior center members were analyzed, using Pattern Coding method. Four themes emerged: "Added Insult of Ageism," "Alternative Remedies," "Good Providers in a 'Broken' System," and "The Foundation of Trust Is Person Recognition." Provider behaviors leading to mistrust included erroneously assuming stereotypical preferences and competence, spending inadequate time listening to patients, disregarding patient preferences, and insufficiently explaining treatments. Of importance to improving trust among older African American patients is valuing individual histories and preferences by reallocating scarce time to person-centered listening, individualizing treatments, more completely explaining interventions, and assuring that patients understand and agree with treatment plans.

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43 citations in Web of Science

41 citations in Scopus

Details

Title: It's a Matter of Trust: Older African Americans Speak About Their Health Care Encounters
Creators: Bryan R Hansen - Johns Hopkins Medicine
Nancy A Hodgson - Johns Hopkins Medicine
Laura N Gitlin - Johns Hopkins Medicine
Publication Details: Journal of applied gerontology, v 35(10), pp 1058-1076
Publisher: Sage
Grant note: R01 MH079814 / NIMH NIH HHS R24 MH074779 / NIMH NIH HHS
Resource Type: Journal article
Language: English
Academic Unit: College of Nursing and Health Professions; Drexel University
Web of Science ID: WOS:000382912600003
Scopus ID: 2-s2.0-84986563044
Other Identifier: 991020112278004721

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Web of Science research areas: Gerontology

It's a Matter of Trust: Older African Americans Speak About Their Health Care Encounters

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Abstract

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Details

UN Sustainable Development Goals (SDGs)

InCites Highlights

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