患者偏好和对提供者多样性的看法 在整形外科手术中
Mingda Chen1, John T Strony2, Elizabeth A Kroneberger1
1Case Western Reserve University School of Medicine, Cleveland, Ohio.
The Journal of bone and joint surgery. American volume
|October 6, 2023
概括
患者认为骨科手术缺乏多样性. 黑人患者报告与外科医生有更多的困难,并比白人患者感受到更多的种族偏见,突出了护理方面的差异.
科学领域:
- 整形外科手术 整形外科手术
- 医学社会学 医学社会学
- 在健康方面存在差异.
背景情况:
- 在美国,骨科手术历史上是医学最不多样化的专业之一.
- 关于患者在选择骨科外科医生时对多样性的看法和偏好存在有限的数据.
- 了解患者对外科医生人口统计学的看法对于解决多样性问题至关重要.
研究的目的:
- 为了确定患者在骨科手术中对外科医生人口统计的偏好.
- 了解患者对该领域的种族和性别多样性的看法.
- 探索患者-外科医生人口统计和感知多样性之间的关系.
主要方法:
- 在美国学术卫生系统的骨科诊所中,对非连续患者进行了39项问卷调查.
- 调查数据包括患者人口统计,对多样性的看法,以及对外科医生特征的偏好.
- 使用双变量分析和多重回归模型来分析数据.
主要成果:
- 分析了349名患者 (80.6%是白人,17.9%是黑人).
- 与白人患者相比,黑人患者报告了与外科医生有关的更高难度和感知到的种族偏见.
- 白人和黑人患者都认为骨科的种族多样性很低,尽管黑人患者更重视外科医生的种族.
结论:
- 患者认为骨科手术是一个非多元化的领域.
- 患者对外科医生特征的偏好存在显著的种族和性别差异.
- 这些差异可能有助于感知种族偏见和患者与外科医生关系中的困难.
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