慢性疾病,身体质量指数和患者-提供者沟通之间的关系
Lucille M Abrams1, Kevin Look1, Olayinka Shiyanbola1
1School of Pharmacy, Social and Administrative Sciences Division, University of Wisconsin-Madison.
Health communication
|June 6, 2023
概括
患有多种慢性疾病的患者报告与医疗保健提供者沟通较差. 较高的患者体重指数 (BMI) 并没有显著影响这种沟通或缓解这种关系.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者与医疗服务提供者之间的沟通
- 慢性疾病管理 慢性疾病管理
背景情况:
- 对于体重较高的人,特别是患有慢性疾病的人,对患者-提供者沟通动态的理解有限.
- 慢性疾病可能会使医疗互动和患者体验复杂化.
- 研究身体质量指数 (BMI) 在这些沟通动态中的作用至关重要.
研究的目的:
- 检查慢性疾病的存在如何影响患者与医疗服务提供者的沟通.
- 为了确定患者的BMI是否能缓和慢性疾病状态与沟通质量之间的关联.
- 确定影响慢性病患者沟通的潜在偏见.
主要方法:
- 使用量化分析方法,使用具有全国代表性的数据.
- 采用了皮尔森相关性和多变量逻辑回归分析.
- 评估了慢性疾病,BMI和感知到的患者-提供者沟通之间的关系.
主要成果:
- 总体而言,患者与医疗服务提供者之间的沟通与患者的慢性疾病状况之间存在显著的负面关系.
- 患者的BMI和患者与医疗服务提供者之间的沟通之间没有发现显著的关系.
- 患者的BMI并没有显著缓解慢性疾病与沟通质量之间的联系.
结论:
- 患有多种慢性疾病的患者经历了与医疗保健提供者的沟通减少,可能是由于各种偏见.
- 需要进一步的研究,以了解体重偏差和其他因素对慢性病患者的影响.
- 医疗保健质量调查应纳入感知偏差的增强措施,包括体重偏差和患者-提供者沟通.
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