根据录制的心脏病诊断记录,患者对患者的信任和不信任的种族差异
Sarah V Hantzmon1, Clemontina A Davenport2, Maya N Das Gupta1
1Cancer Prevention and Control Program, Duke Cancer Institute, Durham, NC, USA.
Patient education and counseling
|November 21, 2023
概括
与白人患者相比,黑人患者对白人心脏病专家的信任和开放的表达较少. 这凸显了改善临床医师沟通的必要性,以培养更大的患者信任.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床交流 临床沟通
- 健康差异 在健康上的差异
背景情况:
- 自我报告的患者信任的种族差异已被记录下来.
- 在临床接触中对信任和不信任的直接评估仍未得到充分研究.
- 音频录音提供了一种分析患者与医生的互动的方法.
研究的目的:
- 检查患者信任和不信任表达的种族差异.
- 开发和应用一个代码书来分析对心脏病医生与患者互动的信任.
- 为了比较黑人和白人患者之间的信任和不信任表达.
主要方法:
- 从随机对照试验中对录制的心脏病体验进行分析.
- 包括50名白人和51名与白人心脏病专家互动的黑人患者.
- 应用一个经过验证的代码书来评估信任,不信任和警,根据患者人口统计和访问类型进行调整.
主要成果:
- 与白人患者相比,黑人患者的信任表达明显较低 (IRR:0.59).
- 黑人患者的平均守护/开放得分明显低 (β: -0.38).
- 种族与不信任表达的发生之间没有发现任何显著的关联.
结论:
- 患者的信任和不信任可以从音频录音中可靠地编码,为自我报告措施提供了替代方案.
- 研究结果表明,白人临床医生需要加强与黑人患者的沟通策略.
- 改善沟通可能会促进对这些互动的信任表达.
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