TY - JOUR
T1 - It's a matter of trust
T2 - Older African Americans speak about their health care encounters
AU - Hansen, Bryan R.
AU - Hodgson, Nancy A.
AU - Gitlin, Laura N.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported in part by funds from the National Institute of Mental Health (Grants R24 MH074779 and RO1 MH079814) and the John A. Hartford National Hartford Center of Gerontological Nursing Excellence.
Publisher Copyright:
© 2016 Southern Gerontological Society.
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Purpose: To examine perceptions of older African Americans' encounters with health care providers and ways to enhance trust. Method: Transcribed semi-structured interviews with African American senior center members were analyzed, using Pattern Coding method. Results: 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. Discussion: 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.
AB - Purpose: To examine perceptions of older African Americans' encounters with health care providers and ways to enhance trust. Method: Transcribed semi-structured interviews with African American senior center members were analyzed, using Pattern Coding method. Results: 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. Discussion: 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.
KW - health care provider
KW - health disparity
KW - older adult
KW - trust
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U2 - 10.1177/0733464815570662
DO - 10.1177/0733464815570662
M3 - Article
C2 - 25669876
AN - SCOPUS:84986563044
VL - 35
SP - 1058
EP - 1076
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
SN - 0733-4648
IS - 10
ER -