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Kidney Week

Abstract: PO1120

Racial Differences in Physician Trust Among ESRD Patients in Upstate New York

Session Information

Category: Dialysis

  • 701 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Dahl, Spencer, University of Rochester Medical Center, Rochester, New York, United States
  • Kazi, Basil S., University of Rochester Medical Center, Rochester, New York, United States
  • Saeed, Fahad, University of Rochester Medical Center, Rochester, New York, United States
Background

Black patients have worse health outcomes in comparison to White patients, including 2.8 times higher incidence of End Stage Renal Disease, and a significantly higher age stratified risk of death on dialysis. Historically, low levels of physician trust in the healthcare system have been postulated as one of the mediators of healthcare disparities. Previous literature has suggested that black patients are less likely to trust their physicians, however there is a paucity of such data in the dialysis population.

Methods

We surveyed 223/380 (response rate 58%) of hospitalized patients receiving maintenance dialysis in Upstate New York, including 91 white and 82 black patients. We assessed physician trust using the Primary Care Assessment Survey (PCAS). This scale has been previously validated in adult and older adult populations.

Results

We found no difference in the level of trust between black and white patients (3.01 vs 2.95 respectively), assessed on the PCAS scale.

Conclusion

We found no difference in physician trust between black and white patients in our sample. Addressing healthcare disparities is a priority issue for maintenance dialysis patients. Future research to investigate issues related to access to the health care system, health literacy, and socioeconomic status may shed further light into health disparities.