Partnership Building with Special Populations

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Abstract
This article examines barriers to provider–patient partnership for lower–income black households in the rural South. After providing an interactional model of partnership, quality of provider–patient interaction is assessed for private practice, clinic, inpatient hospital, and emergency department settings across five counties. Quantitative and qualitative data were collected through 281 household interviews, 20 key informant interviews, and 6 focus group interviews. Findings suggest that attention needs to be given to provider–patient communication and the emergency department as a treatment setting. Respondents often believed that racism and classism were barriers to quality care in their communities. Recommendations are presented based on these findings.

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