患者对全科医生服务满意度的种族群体差异:来自新西兰态度和价值观研究的发现
Carol H J Lee1, Chris G Sibley2
1PhD Graduate, School of Psychology, The University of Auckland, New Zealand; Health Promoter, Auckland Regional Public Health Service, New Zealand.
一般医生的文化尊重显著影响了患者的满意度,尤其是少数民族. 提高文化能力可以减少健康不平等,提高新西兰的医疗保健准入和结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 新西兰仍然存在种族健康不平等,需要了解影响医疗保健体验的因素.
- 一般医生 (GP) 的满意度是医疗保健质量和患者体验的关键指标.
研究的目的:
- 确定新西兰不同种族群体中GP满意度的关键预测因素.
- 探索文化尊重和种族相似性在医生满意度及其对健康结果的影响中的作用.
主要方法:
- 使用2019年新西兰态度和价值观研究 (n=38,465) 的数据进行回归分析.
- 检查患者感知到的GP文化尊重和GP种族相似性对GP满意度的影响.
- 调查全族GP满意度,医疗保健获取和健康状况之间的关系.
主要成果:
- 在考虑到文化尊重和种族相似性之后,毛利人和帕西菲卡人报告的GP满意度高于新西兰欧洲人.
- 医生满意度是所有种族群体对医疗保健获得满意度的最强预测因素.
- 更高的GP满意度与更好的自我健康评价和更低的心理痛苦相关.
结论:
- 缺乏GP文化尊重是少数民族中GP满意度较低的重要驱动因素.
- 提高全科医生的文化能力对于减少健康不平等,改善医疗保健获取和结果至关重要.
- 文化尊重的护理可以减轻跨种族人口在医疗保健经验和健康状况上的差异.
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