Race differences in patient trust and distrust from audio-recorded cardiology encounters.

Objective: Many have reported racial disparities in self-reported trust in clinicians but have not directly assessed expressions of trust and distrust in physician-patient encounters. We created a codebook to examine racial differences in patient trust and distrust through audio-recorded cardiologist-patient interactions.

Methods: We analyzed data from a randomized controlled trial of audio-recorded outpatient cardiology encounters (50 White and 51 Black patients).

A qualitative analysis of trust and distrust within patient-clinician interactions.

Objectives: Trust represents a key quality of strong clinician-patient relationships. Many have attempted to assess patient-reported trust. However, most trust measures suffer from ceiling effects, with no variability, making it not possible to examine predictors of trust and distrust.

Patient and Caregiver Expression of Reluctance and Ambivalence During Palliative Care Encounters.

Patients with serious illness and their caregivers often face challenging decisions. When faced with these decisions, patients and caregivers may display signs of ambivalence and reluctance toward end-of-life decision making. We recruited 22 palliative care clinicians to participate in a communication coaching study.