選択的な小児外科診療における親の人種とコミュニケーション
medRxiv : the preprint server for health sciences
|September 5, 2025
まとめ
小児外科の診察には人種差があり 黒人の親は臨床医の関与が少なく 臨床医の優位性が高くなります コミュニケーションのギャップを埋めることは 公平な外科的ケアに不可欠です
科学分野:
- 小児外科
- 健康 の 格差
- 臨床 コミュニケーション
背景:
- 白人の子供よりも 手術の結果が悪いことが多いのです
- 臨床的なコミュニケーションパターンは 医療における人種差を悪化させる可能性があります
研究 の 目的:
- 小児科の選択手術の初期診察で 両親と医師のコミュニケーションにおける 人種差異を調査する.
- 親の人種と関連した特定のコミュニケーションの行動を特定する.
主な方法:
- 一般的な小児外科手術の診察中に 153人の親と臨床医の二組のオーディオ録音を分析した.
- コミュニケーションはRoter Interaction Analysis System (RIAS) を使用してコード化され,言語的優位性,患者中心性,感情的コミュニケーションを測定しました.
- 一般的な推定方程式は,社会人口学的要因を調整して,親の人種とコミュニケーションの結果の関連性を評価するために使用されました.
主要な成果:
- 黒人親の訪問は 白人親の訪問と比較して 臨床医の言語的優位性が著しく高かった.
- 黒人の親は全体的に発言が少なく 相談の際にポジティブな影響が少ない.
- いくつかの違いは社会統計学的要因によって媒介されたが,臨床医の優位性は調整後に持続した.
結論:
- 親の人種は 小児外科の診察で 異なるコミュニケーションパターンと関連しています
- 臨床医,親,そしてインタラクティブのコミュニケーションにおいて違いが観察され,親のコミュニケーションが重要な役割を果たした.
- 患者中心のコミュニケーション戦略を実装することで 社会的距離を縮小し,小児外科医療における公平性を向上させることができます.
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