Patient Trust in Physicians and Shared Decision-Making Among African-Americans With Diabetes

摘要: This study explores patient trust in physicians and its relationship to shared decision-making (SDM) among African-Americans with diabetes (types 1 2). We conducted a series of focus groups (n = 27) in-depth interviews 24). Topic guides were developed utilizing theoretical constructs. Each interview was audiotaped transcribed verbatim. transcript independently coded by two randomly assigned members the research team; codes themes identified an iterative fashion Atlas.ti software. The mean age participants 62 years 85% female. found that (1) race as social construct has potential influence key domains (interpersonal/relationship aspects medical skills/technical competence), (2) between is bidirectional nature, (3) enhancing may potentially increase or decrease SDM diabetes. Mistrust partially be addressed through education efforts, physician training interpersonal skills cultural competence, efforts engage patients SDM. To help enhance outcomes diabetes, might consider incorporating strategies simultaneously engender their patients' encourage decision-making.