Maria T. Chao|Margaret A. Handley|Judy Quan|Urmimala Sarkar|Neda Ratanawongsa|Dean Schillinger
Disclosure of complementary health approaches among low income and racially diverse safety net patients with diabetes
University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco
patientprovider communication complementary health approaches support diabetes selfmanagement minimizing risk optimizing care sought identify sociodemographic communication factors associated disclosure complementary health approaches providers lowincome patients diabetes used data san francisco health plans smartsteps program trial diabetes selfmanagement support lowincome patients n 278 multilingual automated telephone support interviews collected use disclosure complementary health approaches prior month patientphysician language concordance quality communication among racially linguistically diverse participants half 478 reported using complementary health practices n 133 553 disclosed use providers age sex raceethnicity nativity education income health literacy associated disclosure adjusted analyses disclosure associated language concordance aor 221 95 ci 105 467 physicians interpersonal communication scores aor 150 95 ci 103 219 shared decision making aor 174 95 ci 133 229 explanatorytype communication aor 146 95 ci 103 209 safety net patients diabetes commonly use complementary health approaches disclose providers higher patientrated quality communication patientprovider language concordance patientcentered communication facilitate disclosure complementary health approaches