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HIV meds dialogue differs by race, ethnicity

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Researchers found specific racial/ethnic differences in discussions of HIV medicine adherence in a newly published analysis of recorded office visits between 45 doctors and nurse practitioners and more than 400 patients.

PROVIDENCE, R.I. [Brown University] — A lot of evidence shows that a patients’ race or ethnicity is associated with differences in how health care providers communicate with them, the health care they receive, and their health outcomes. In HIV care, a key to those outcomes is whether people take their medications as prescribed. A new study of the doctor-patient dialogue about HIV drug adherence found several specific differences in those conversations depending on patients’ race and ethnicity. (more…)

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Lecture or Listen: When Patients Waver on Meds

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*According to a new analysis of hundreds of recorded office visits, doctors and nurse practitioners typically issued orders and asked closed or leading questions when talking to their HIV-positive patients about adherence to antiretroviral therapy. Attempts at problem-solving with patients who had lapsed occurred in less than a quarter of visits.*

PROVIDENCE, R.I. [Brown University] — Take your medicine, Doctor’s orders. It’s a simple idea that may seem especially obvious when the pills are the antiretroviral (ARV) drugs that add decades to the lives of HIV-positive patients. But despite the reality that keeping up with drug regimens is not easy for many patients, a new analysis of hundreds of recorded doctor’s office visits finds that physicians and nurse practitioners often still rely on lecturing, ordering, and scolding rather than listening and problem solving with their patients. (more…)

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