Patient–Provider Rapport in the Health Care of People Who Inject Drugs
Little research has described determinants and consequences of patient–provider rapport among people who inject drugs (PWIDs). This mixed-method study (a) qualitatively described facilitators, barriers, and consequences to rapport development between PWIDs and their health care providers and (b) qua...
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2013-10-01
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Online Access: | https://doi.org/10.1177/2158244013509252 |
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doaj-52f17ddd4ad64da28970c8dc007c4a882020-11-25T02:53:51ZengSAGE PublishingSAGE Open2158-24402013-10-01310.1177/215824401350925210.1177_2158244013509252Patient–Provider Rapport in the Health Care of People Who Inject DrugsGinetta Salvalaggio0Robert McKim1Marliss Taylor2T. Cameron Wild3University of Alberta, Edmonton, CanadaEdmonton Southside and Edmonton West Primary Care Networks, Alberta, CanadaStreetworks Harm Reduction Program, Edmonton, Alberta, CanadaUniversity of Alberta, Edmonton, CanadaLittle research has described determinants and consequences of patient–provider rapport among people who inject drugs (PWIDs). This mixed-method study (a) qualitatively described facilitators, barriers, and consequences to rapport development between PWIDs and their health care providers and (b) quantitatively tested the hypothesis that quality of rapport is associated with positive patterns of service use. Two exploratory focus groups with PWIDs and care providers were conducted. Subsequently, 89 PWIDs completed a survey interview; of those, eight completed a follow-up qualitative interview. Qualitative results indicated that rapport is influenced by drug-related behaviors, addiction severity, provider expertise, patient-centered care, and perceived discrimination and that rapport then influences patient compliance, timing of care, and criminal activity. Quantitative results indicated that rapport predicted PWID satisfaction with care as well as frequency and timing of emergency department presentations. Results suggest that PWID–provider rapport has several unique determinants and is associated with positive health care outcomes.https://doi.org/10.1177/2158244013509252 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ginetta Salvalaggio Robert McKim Marliss Taylor T. Cameron Wild |
spellingShingle |
Ginetta Salvalaggio Robert McKim Marliss Taylor T. Cameron Wild Patient–Provider Rapport in the Health Care of People Who Inject Drugs SAGE Open |
author_facet |
Ginetta Salvalaggio Robert McKim Marliss Taylor T. Cameron Wild |
author_sort |
Ginetta Salvalaggio |
title |
Patient–Provider Rapport in the Health Care of People Who Inject Drugs |
title_short |
Patient–Provider Rapport in the Health Care of People Who Inject Drugs |
title_full |
Patient–Provider Rapport in the Health Care of People Who Inject Drugs |
title_fullStr |
Patient–Provider Rapport in the Health Care of People Who Inject Drugs |
title_full_unstemmed |
Patient–Provider Rapport in the Health Care of People Who Inject Drugs |
title_sort |
patient–provider rapport in the health care of people who inject drugs |
publisher |
SAGE Publishing |
series |
SAGE Open |
issn |
2158-2440 |
publishDate |
2013-10-01 |
description |
Little research has described determinants and consequences of patient–provider rapport among people who inject drugs (PWIDs). This mixed-method study (a) qualitatively described facilitators, barriers, and consequences to rapport development between PWIDs and their health care providers and (b) quantitatively tested the hypothesis that quality of rapport is associated with positive patterns of service use. Two exploratory focus groups with PWIDs and care providers were conducted. Subsequently, 89 PWIDs completed a survey interview; of those, eight completed a follow-up qualitative interview. Qualitative results indicated that rapport is influenced by drug-related behaviors, addiction severity, provider expertise, patient-centered care, and perceived discrimination and that rapport then influences patient compliance, timing of care, and criminal activity. Quantitative results indicated that rapport predicted PWID satisfaction with care as well as frequency and timing of emergency department presentations. Results suggest that PWID–provider rapport has several unique determinants and is associated with positive health care outcomes. |
url |
https://doi.org/10.1177/2158244013509252 |
work_keys_str_mv |
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1724723945134882816 |