Pd40-04 the Impact of the Patient-Provider Relationship on Receiving Treatment for Pelvic Floor Disorder Care Among Minority Women: A Focus Group Analysis

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making III (PD40)1 May 2024PD40-04 THE IMPACT OF THE PATIENT-PROVIDER RELATIONSHIP ON RECEIVING TREATMENT FOR PELVIC FLOOR DISORDER CARE AMONG MINORITY WOMEN: A FOCUS GROUP ANALYSIS Greeshma Venigalla, Manish Narasimman, Sanjana Satish, Alan Wein, Katherine Amin, and Raveen Syan Greeshma VenigallaGreeshma Venigalla , Manish NarasimmanManish Narasimman , Sanjana SatishSanjana Satish , Alan WeinAlan Wein , Katherine AminKatherine Amin , and Raveen SyanRaveen Syan View All Author Informationhttps://doi.org/10.1097/01.JU.0001009356.04608.d5.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Few studies examine the influence of patient-provider relationships as a barrier to care to treatment of pelvic floor disorders (PFDs) in ethnically diverse women in the United States. To fill this important gap, we sought to evaluate patient perceptions of their provider relationships in their treatment for PFDs through focus groups. METHODS: Four semistructured focus groups were conducted at the University of Miami. All focus groups involved Hispanic or African American women with diagnosed PFDs recruited from the urogynecology clinic in a group interview setting. Two focus groups were conducted in Spanish for Hispanic Spanish-speaking women (HS) (n=7), and two for Hispanic English-speaking (HE) (n=2) and African American English-speaking (AA) (n=4) women in English. Women were asked a series of questions regarding their PFD, care-seeking attitudes, and barriers to receiving treatment. A general inductive approach involving systematic independent analysis of themes by authors was used to examine patient perceptions of their provider relationships in their treatment for PFDs. RESULTS: Key messages from five broad themes describing patient-provider relationship factors were derived from the group discussions (Table 1): (1) the majority of patients are comfortable discussing symptoms and treatments for PFDs with their providers; (2) patients do not feel uncomfortable with a male provider, however they may prefer a female provider; (3) language does not serve to be a barrier due to availability of Spanish-speaking providers and interpreters in Miami; (4) increased availability of educational materials and more time spent explaining diagnoses and treatment would improve perceived patient-provider relationship; (5) scheduling appointments with providers can be a barrier due to decreased availability and patients' work hour requirements. CONCLUSIONS: Gender, time spent on education and communication, and accessibility to health care visits may influence the care received by Hispanic and African American women seeking PFD care. Further research is required to confirm these findings and identify additional patient-provider relationship factors associated with perceived quality of care. Source of Funding: 2021 AUA Research Scholar Award to Dr. Raveen Syan © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e820 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Greeshma Venigalla More articles by this author Manish Narasimman More articles by this author Sanjana Satish More articles by this author Alan Wein More articles by this author Katherine Amin More articles by this author Raveen Syan More articles by this author Expand All Advertisement PDF downloadLoading ...