患者自主权对无保险免费诊所患者的影响
Samin Panahi1,2, Brenda Spearman3, Justine Sundrud3
1Department of Sociology, University of Utah, Salt Lake City, UT, USA.
Journal of patient experience
|June 16, 2023
概括
对于没有保险的人来说,患者在医疗保健中的自主性至关重要. 加强以患者为中心的沟通可以显著改善决策和对治疗风险的理解,减少医疗保健差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 以患者为中心的护理
背景情况:
- 没有保险的初级保健患者面临临临床决策自主性的障碍.
- 医疗保健设施选择有限,医疗素养低,加剧了这些挑战.
- 以病人为中心可能会减轻弱势群体的医疗保健差异.
研究的目的:
- 检查与无保险免费诊所人群中患者自主权相关的因素.
- 研究以患者为中心在提高自主性和减少医疗保健差异方面的作用.
主要方法:
- 使用免费诊所患者 (≥18岁) 的方便样本进行横截面研究.
- 从英语和/或西班牙语参与者收集的数据 (2019年9月至12月).
- 进行多重回归分析以确定与理想患者自主性相关的因素.
主要成果:
- 讲西班牙语的患者更倾向于采用父权主义的医疗服务提供者与患者关系 (P < .01).
- 改善的患者-提供者沟通与更高的患者自主性相关 (P < .01).
- 更高的教育水平和有效的沟通伙伴关系提高了对治疗风险的理解 (P < .01).
结论:
- 患者为中心的组件对于提高免费诊所患者的自主性至关重要.
- 有效的沟通是患者自主权的关键驱动力.
- 解决健康素养和沟通风格的问题可以减少医疗保健差异.
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