Exploring patient-provider interactions in a Native American community

Vanessa Watts Simonds, Suzanne Christopher, Thomas D. Sequist, Graham A. Colditz, Rima E. Rudd

Research output: Contribution to journalArticle

12 Scopus citations


Identifying and addressing barriers and facilitators to good patient-provider clinical interactions may enhance participation in health-promoting behaviors. We used the critical incident technique to elicit descriptions of positive and negative patient-provider interactions from both patients and providers in a rural Native American community. Using the interview data, we developed a model that illustrates the factors affecting patient-provider interactions. Trust emerged as the central theme in the determination of whether an interaction is considered good or bad. Trust was influenced by four higher-level themes: visit context, visit expectations, history, and time. These higher-level themes also affected the perceived barriers and facilitators to the clinical interaction, which were categorized as either actions or feelings/interpretations. Addressing and reducing barriers to positive clinical interactions on multiple levels is necessary for improving patient trust in the health care system, particularly among members of minority groups.

Original languageEnglish
Pages (from-to)836-852
Number of pages17
JournalJournal of Health Care for the Poor and Underserved
Issue number3
StatePublished - Aug 2011


  • Communication
  • Community-based participatory research
  • Indians
  • Native Americans
  • North American
  • Physician-patient relations

Fingerprint Dive into the research topics of 'Exploring patient-provider interactions in a Native American community'. Together they form a unique fingerprint.

  • Cite this