The Impact of Provider Demographics on Patients' Continuity of Care

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

415 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-08-12

Study Completion Date

2021-03-31

Brief Summary

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The race concordance of providers to their patients impacts a patient's investment and agency in the patient-provider relationship. The mistrust of medicine within the African American population remains and patients feel unengaged in their care. Race concordant provider-patient rela-tionships would improve the equity of patient care in our clinic.

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Detailed Description

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The patients of the obstetrics and gynecology resident clinic at Good Samaritan Hospital have a poor follow-up rate for their gynecologic and prenatal care visits. In addition, patients oftentimes voice frustration over the care that they receive and sometimes remark that they feel their provider was "racist." These patients often have complex social situations that cannot be solved in one office visit but perhaps the providers' ability to gain the trust of the minority patients is inadequate. The residents in the OB/GYN program are 80% white with no African American representation. If patients are unable to connect with caregivers due to cross-cultural differences, this could be remedied by training current residents in cross-cultural communication or re-cruitment of a resident class more representative of the majority African American patient population. This project will provide perspective on the minority patients' needs in the provider-patient relationship and allow providers to reexamine their ability to gain trust with the ultimate goal to increase follow-up rates. Follow-up rates for prenatal care are directly linked to improved maternal and fetal outcomes. The investigators goals are threefold: to gain clarity on whether or not a more diverse resident group would be helpful in gaining the trust of patients, to assess the current state of the well-established historical and generational mistrust of medical care by the African American patients of the clinic, and to explore how patient perception of their provider impacts their rate of follow up in the large community hospital clinic.

Conditions

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Race Concordant Patient-provider Relationship Race Discordant Patient-provider Relationship Rate of No-show at Follow-up Visits

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group 1 (provider-patient concordant)

prospective, descriptive study via survey

Intervention Type OTHER

* Survey administered at check out.
* Patient's rate of follow-up data gathered via chart review.

Group 2 (provider-patient discordant)

prospective, descriptive study via survey

Intervention Type OTHER

* Survey administered at check out.
* Patient's rate of follow-up data gathered via chart review.

Interventions

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prospective, descriptive study via survey

* Survey administered at check out.
* Patient's rate of follow-up data gathered via chart review.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Female Patient seeing OB/GYN resident at FMC
* 18 years or older
* \<36 weeks pregnant or GYN patient
* If GYN patient, must have problem requiring follow-up within 6 months
* Have not previously completed the survey

Exclusion Criteria

* Less than 18 years of age
* High risk clinic patients (Tuesday afternoons)
* Patients without a follow-up less than 6 months as scheduled at check out

Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes