The Importance of Dialogue

MISSING IMAGE

Material Information

Title:
The Importance of Dialogue Development-Based Communication Strategy for African American Patients, Their Health Providers, and Community Health Clinics
Physical Description:
1 online resource (136 p.)
Language:
english
Creator:
Williams, Rania Lauree
Publisher:
University of Florida
Place of Publication:
Gainesville, Fla.
Publication Date:

Thesis/Dissertation Information

Degree:
Doctorate ( Ph.D.)
Degree Grantor:
University of Florida
Degree Disciplines:
Mass Communication, Journalism and Communications
Committee Chair:
LEE,MOON J
Committee Co-Chair:
TRIPP,BERNELL E
Committee Members:
MOLLEDA,JUAN CARLOS
DOBRIN,SIDNEY IRWIN

Subjects

Subjects / Keywords:
communication -- healthcommunication -- patientcommunication -- providercommunication -- qualitativeanalysis -- quantitativeanalysis -- surveyresearch
Journalism and Communications -- Dissertations, Academic -- UF
Genre:
Mass Communication thesis, Ph.D.
bibliography   ( marcgt )
theses   ( marcgt )
government publication (state, provincial, terriorial, dependent)   ( marcgt )
born-digital   ( sobekcm )
Electronic Thesis or Dissertation

Notes

Abstract:
This dissertation explores, from the interdisciplinary perspectives of communication for development, health communication, and reputation management, how medical providers and their African American patients from marginalized demographics interact in the consult environment of community health clinics. Looking specifically at the development communication strategies of accommodation and collaboration in the provider-patient dynamic,and drawing from theories of empowerment, community development, co-orientation,and health communication, this research argues that these strategies are necessary and crucial for creating and maintaining empowered and satisfied patients, in addition to providers who feel they are co-equal contributors with their patients. This dissertation studied, in particular, patient and provider samples at two clinics in the inner-city regions of Augusta, Georgia(Druid Park Community Health Center and Belle Terrace Health and Wellness Center). By focusing on community health clinics, this dissertation produced original research into an area that has been explored extensively in hospital and private office settings. The methodology used in this dissertation was a case study that employed a combination of qualitative and quantitative methods. Patient surveys (N=137) provided the data for quantitative analyses and hypothesis testing, while provider surveys provided comparative data for interpretation.Provider in-depth interviews (N=12) provided the data for thematic analysis and interpretation. In summary, provider interviews demonstrated that providers in the community clinic environment are not only aware of the patient-centered and collaborative strategies and their effects, but they are using them actively in their consults with patients. Providers desire to work with their patients rather than servicing or instructing them and they encourage and prefer patients who are equally motivated to impact their own health outcomes.Patients are likewise aware of these specific strategies, and their perceptions of self-efficacy (empowerment) and satisfaction were higher in correlation to their reports of their providers using these strategies in their consults.
General Note:
In the series University of Florida Digital Collections.
General Note:
Includes vita.
Bibliography:
Includes bibliographical references.
Source of Description:
Description based on online resource; title from PDF title page.
Source of Description:
This bibliographic record is available under the Creative Commons CC0 public domain dedication. The University of Florida Libraries, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.
Statement of Responsibility:
by Rania Lauree Williams.
Thesis:
Thesis (Ph.D.)--University of Florida, 2013.
Local:
Adviser: LEE,MOON J.
Local:
Co-adviser: TRIPP,BERNELL E.
Electronic Access:
RESTRICTED TO UF STUDENTS, STAFF, FACULTY, AND ON-CAMPUS USE UNTIL 2014-12-31

Record Information

Source Institution:
UFRGP
Rights Management:
Applicable rights reserved.
Classification:
lcc - LD1780 2013
System ID:
UFE0046228:00001