Table 3.
Distribution of Interpersonal Processes of Care (IPC) domains approximately 8 months after diagnosis among 1,855 women diagnosed with breast cancer
| IPC Domain | IPC Score |
||||||
|---|---|---|---|---|---|---|---|
| 1.0–1.9 n (%) |
2.0–2.9 n (%) |
3.0–3.9 n (%) |
4.0–4.9 n (%) |
5.0 n (%) |
Mean Continuous Score |
P value* |
|
| Compassion | |||||||
| All (n=1,855) | 6 (0.32) | 42 (2.26) | 325 (17.52) | 867 (46.74) | 615 (33.15) | 4.34 | --- |
| White (n=1,306) | 5 (0.38) | 26 (1.99) | 233 (17.84) | 644 (49.31) | 398 (30.47) | 4.32 | 0.066 |
| African American (n=110) | 0 (0.00) | 4 (3.64) | 20 (18.18) | 42 (38.18) | 44 (40.00) | 4.38 | |
| Asian (n=201) | 0 (0.00) | 5 (2.49) | 35 (17.41) | 86 (42.79) | 75 (37.31) | 4.36 | |
| Hispanic (n=186) | 1 (0.54) | 6 (3.23) | 29 (15.59) | 71 (38.17) | 79 (42.47) | 4.39 | |
| Elicited concerns | |||||||
| All (n=1,855) | 7 (0.38) | 50 (2.70) | 284 (15.31) | 979 (52.78) | 535 (28.84) | 4.32 | --- |
| White (n=1,306) | 5 (0.38) | 25 (1.91) | 196 (15.01) | 726 (55.59) | 354 (27.11) | 4.32 | 0.006 |
| African American (n=110) | 0 (0.00) | 4 (3.64) | 10 (9.09) | 54 (49.09) | 42 (38.18) | 4.44 | |
| Asian (n=201) | 2 (1.00) | 9 (4.48) | 47 (23.38) | 89 (44.28) | 54 (26.87) | 4.18 | |
| Hispanic (n=186) | 0 (0.00) | 11 (5.91) | 26 (13.98) | 80 (43.01) | 69 (37.10) | 4.35 | |
| Explained results | |||||||
| All (n=1,855) | 11 (0.59) | 59 (3.18) | 240 (12.94) | 663 (35.74) | 882 (47.55) | 4.37 | --- |
| White (n=1,306) | 6 (0.46) | 36 (2.76) | 159 (12.17) | 479 (36.68) | 626 (47.93) | 4.39 | 0.31 |
| African American (n=110) | 0 (0.00) | 4 (3.64) | 16 (14.55) | 34 (30.91) | 56 (50.91) | 4.40 | |
| Asian (n=201) | 1 (0.50) | 10 (4.98) | 26 (12.94) | 77 (38.31) | 87 (43.28) | 4.28 | |
| Hispanic (n=186) | 4 (2.15) | 8 (4.30) | 31 (16.67) | 53 (28.49) | 90 (48.39) | 4.26 | |
| Decided together | |||||||
| All (n=1,855) | 72 (3.88) | 153 (8.25) | 338 (18.22) | 685 (36.93) | 607 (32.72) | 4.01 | --- |
| White (n=1,306) | 47 (3.60) | 102 (7.81) | 238 (18.22) | 485 (37.14) | 434 (33.23) | 4.03 | 0.20 |
| African American (n=110) | 6 (5.45) | 12 (10.91) | 20 (18.18) | 37 (33.64) | 35 (31.82) | 3.86 | |
| Asian (n=201) | 3 (1.49) | 23 (11.44) | 35 (17.41) | 74 (36.82) | 66 (32.84) | 4.03 | |
| Hispanic (n=186) | 15 (8.06) | 9 (4.84) | 38 (20.43) | 71 (38.17) | 53 (28.49) | 3.87 | |
| Lack of clarity† | |||||||
| All (n=1,855) | 624 (33.64) | 860 (46.36) | 343 (18.49) | 23 (1.24) | 5 (0.27) | 1.72 | --- |
| White (n=1,306) | 471 (36.06) | 598 (45.79) | 225 (17.23) | 10 (0.77) | 2 (0.15) | 1.67 | <0.001 |
| African American (n=110) | 34 (30.91) | 55 (50.00) | 21 (19.09) | 0 (0.00) | 0 (0.00) | 1.75 | |
| Asian (n=201) | 54 (26.87) | 94 (46.77) | 46 (22.89) | 7 (3.48) | 0 (0.00) | 1.87 | |
| Hispanic (n=186) | 49 (26.34) | 87 (46.77) | 41 (22.04) | 6 (3.23) | 3 (1.61) | 1.89 | |
| Discrimination due to race/ethnicity† | |||||||
| All (n=1,855) | 1752 (94.45) | 71 (3.83) | 26 (1.40) | 3 (0.16) | 3 (0.16) | 1.06 | --- |
| White (n=1,306) | 1270 (97.24) | 26 (1.99) | 9 (0.69) | 0 (0.00) | 1 (0.08) | 1.03 | <0.001 |
| African American (n=110) | 92 (83.64) | 9 (8.18) | 6 (5.45) | 2 (1.82) | 1 (0.91) | 1.24 | |
| Asian (n=201) | 169 (84.08) | 27 (13.43) | 4 (1.99) | 1 (0.50) | 0 (0.00) | 1.15 | |
| Hispanic (n=186) | 169 (90.86) | 9 (4.84) | 7 (3.76) | 0 (0.00) | 1 (0.54) | 1.13 | |
| Disrespectful office staff† | |||||||
| All (n=1,855) | 1,502 (80.97) | 298 (16.06) | 48 (2.59) | 5 (0.27) | 2 (0.11) | 1.14 | --- |
| White (n=1,306) | 1,062 (81.32) | 217 (16.62) | 25 (1.91) | 1 (0.08) | 1 (0.08) | 1.13 | 0.83 |
| African American (n=110) | 89 (0.91) | 13 (11.82) | 6 (5.45) | 2 (1.82) | 0 (0.00) | 1.21 | |
| Asian (n=201) | 166 (82.59) | 26 (12.94) | 9 (4.48) | 0 (0.00) | 0 (0.00) | 1.14 | |
| Hispanic (n=186) | 148 (79.57) | 28 (15.05) | 7 (3.76) | 2 (1.08) | 1 (0.54) | 1.20 | |
NOTE: 1,855 women completed the entire IPC questionnaire. Other patient race (n=52) excluded due to insufficient data
*
P value from Kruskall-Wallis (K-W test) comparing mean IPC domain scores across four racial/ethnic groups
†
Scoring in negative direction, higher scores indicate poorer patient-physician interaction