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Updated: Jul 22, 2026

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
患者と医師の関係における人種,性別,およびパートナーシップ
L Cooper-Patrick1, J J Gallo, J J Gonzales
1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. lcooper@welch.jhu.edu
JAMA
|August 18, 1999
まとめ
患者の人種と性別は,医療経験に影響を及ぼします. アフリカ系アメリカ人の患者は,意思決定の参加が少ないと報告し,人種に一致する関係は,関与と満足度を向上させました.
科学分野:
- 医療サービス 研究 医療サービス
- 健康の格差について
- 患者と医師のコミュニケーション
背景:
- 研究によると,人種とジェンダーは医療の提供に影響を及ぼしている.
- 人際的ケアの質と患者/医師の人口統計を結びつける研究はほとんどありません.
研究 の 目的:
- 患者/医師の人種/民族および性別との関連を医師の参加型意思決定 (PDM) スタイルと調べる.
主な方法:
- 1816人の成人 (18歳から65歳) を対象とした電話による調査で,PDMの100ポイントスケールを使用した.
- 都市部管理介護組織で1996年から1998年に実施された調査.
- 医師のサンプル (n=64) には,白人およびアフリカ系アメリカ人男性および女性が含まれていました.
主要な成果:
- アフリカ系アメリカ人の患者は白人の患者よりもPDMスコアが著しく低いと報告した (P=.03).
- 人種に一致する患者と医師の関係は,より高いPDMスコアを示した (P=.02).
- 女性医師の患者は,より参加的な訪問を報告した (P=.03).
結論:
- アフリカ系アメリカ人の患者は,白人患者と比較して,参加型ケアが少なくなります.
- 患者と医師の関係における人種的一致は,参加型意思決定を強化する.
- 異文化間のコミュニケーションと医師の多様性の改善は,患者の関与と満足度を高めることができます.
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