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dc.contributor.authorNeal, Richard D.en
dc.contributor.authorAli, Nasreenen
dc.contributor.authorAtkin, Karlen
dc.contributor.authorAllgar, Victoria L.en
dc.contributor.authorAli, Shahiden
dc.contributor.authorColeman, Timen
dc.date.accessioned2018-06-25T10:49:58Z
dc.date.available2018-06-25T10:49:58Z
dc.date.issued2018-06-22
dc.identifier.citationNeal R, Ali N, Atkin K, Allgar V L, Ali S, Coleman T (2006) 'Communication between South Asian patients and GPs: comparative study using the Roter Interactional Analysis System', British Journal of General Practice, 56 (532), pp.869-875.en
dc.identifier.issn0960-1643
dc.identifier.pmid17132355
dc.identifier.urihttp://hdl.handle.net/10547/622767
dc.description.abstractBackground The UK South Asian population has poorer health outcomes. Little is known about their process of care in general practice, or in particular the process of communication with GPs. Go to: Aim To compare the ways in which white and South Asian patients communicate with white GPs. Go to: Design of study Observational study of video-recorded consultations using the Roter Interactional Analysis System (RIAS). Go to: Setting West Yorkshire, UK. Go to: Method One hundred and eighty–three consultations with 11 GPs in West Yorkshire, UK were video-recorded and analysed. Go to: Results Main outcome measures were consultation length, verbal domination, 16 individual abridged RIAS categories, and three composite RIAS categories; with comparisons between white patients, South Asian patients fluent in English and South Asian patients non-fluent in English. South Asians fluent in English had the shortest consultations and South Asians non-fluent in English the longest consultations (one-way ANOVA F = 7.173, P = 0.001). There were no significant differences in verbal domination scores between the three groups. White patients had more affective (emotional) consultations than South Asian patients, and played a more active role in their consultations, as did their GPs. GPs spent less time giving information to South Asian patients who were not fluent in English and more time asking questions. GPs spent less time giving information to South Asian patients fluent in English compared with white patients. Go to: Conclusions These findings were expected between patients fluent and non-fluent in English but do demonstrate their nature. The differences between white patients and South Asian patients fluent in English warrant further explanation. How much of this was due to systematic differences in behaviour by the GPs, or was in response to patients' differing needs and expectations is unknown. These differences may contribute to differences in health outcomes.
dc.language.isoenen
dc.publisherRoyal College of General Practitionersen
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1927096/en
dc.rightsWhite - archiving not formally supported
dc.subjectSouth Asiansen
dc.subjectBritish South Asianen
dc.subjectSouth Asianen
dc.subjectSouth Asian populationen
dc.subjectgeneral practiceen
dc.subjectA990 Medicine and Dentistry not elsewhere classifieden
dc.titleCommunication between South Asian patients and GPs: comparative study using the Roter Interactional Analysis Systemen
dc.typeArticleen
dc.contributor.departmentCardiff Universityen
dc.contributor.departmentUniversity of Leedsen
dc.contributor.departmentUniversity of Nottinghamen
dc.identifier.journalBritish Journal of General Practiceen
dc.identifier.pmcidPMC1927096
dc.date.updated2018-06-25T10:19:06Z
html.description.abstractBackground The UK South Asian population has poorer health outcomes. Little is known about their process of care in general practice, or in particular the process of communication with GPs. Go to: Aim To compare the ways in which white and South Asian patients communicate with white GPs. Go to: Design of study Observational study of video-recorded consultations using the Roter Interactional Analysis System (RIAS). Go to: Setting West Yorkshire, UK. Go to: Method One hundred and eighty–three consultations with 11 GPs in West Yorkshire, UK were video-recorded and analysed. Go to: Results Main outcome measures were consultation length, verbal domination, 16 individual abridged RIAS categories, and three composite RIAS categories; with comparisons between white patients, South Asian patients fluent in English and South Asian patients non-fluent in English. South Asians fluent in English had the shortest consultations and South Asians non-fluent in English the longest consultations (one-way ANOVA F = 7.173, P = 0.001). There were no significant differences in verbal domination scores between the three groups. White patients had more affective (emotional) consultations than South Asian patients, and played a more active role in their consultations, as did their GPs. GPs spent less time giving information to South Asian patients who were not fluent in English and more time asking questions. GPs spent less time giving information to South Asian patients fluent in English compared with white patients. Go to: Conclusions These findings were expected between patients fluent and non-fluent in English but do demonstrate their nature. The differences between white patients and South Asian patients fluent in English warrant further explanation. How much of this was due to systematic differences in behaviour by the GPs, or was in response to patients' differing needs and expectations is unknown. These differences may contribute to differences in health outcomes.


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