种族,性别,以及患者与医生的关系中的伙伴关系
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
概括
患者的种族和性别影响医疗保健体验. 非洲裔美国患者报告说,参与性决策较少,而与种族一致的关系改善了参与度和满意度.
科学领域:
- 医疗服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 患者与医生的沟通 患者与医生的沟通
背景情况:
- 研究表明,种族和性别影响医疗保健提供.
- 很少有研究将人际护理质量与患者/医生人口统计联系起来.
研究的目的:
- 检查患者/医生种族/种族和性别与医生参与决策 (PDM) 风格之间的关联.
主要方法:
- 在1816名成年人 (18-65岁) 的电话调查中,使用100点的PDM比例表.
- 1996-1998年在城市管理护理组织中进行的调查.
- 医生样本 (n=64) 包括白人和非洲裔美国男性和女性.
主要成果:
- 非洲裔美国患者报告PDM得分明显低于白人患者 (P=.03).
- 种族一致的患者与医生的关系显示了较高的PDM得分 (P=.02).
- 女性医生的患者报告了更多的参与性访问 (P=.03).
结论:
- 与白人患者相比,非裔美国患者的参与性护理较少.
- 患者与医生的关系中的种族一致性增强了参与式决策.
- 改善跨文化沟通和医生多样性可以提高患者参与度和满意度.
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