接触患者叙述如何影响初级保健临床医生的刻板印象选择
Deepon Bhaumik1, Mark J Schlesinger1
1Department of Health Policy and Management, Yale University, New Haven, Connecticut, United States of America.
PloS one
|December 7, 2023
概括
患者的叙述可以影响临床医生的选择. 接触破坏性别刻板印象的评论减少了选择女性医生的可能性,而其他叙述增加了它.
科学领域:
- 医学社会学 医学社会学
- 医疗保健服务研究 医疗服务研究
- 性别研究是性别研究.
背景情况:
- 性别刻板印象影响患者对医生同情心的看法.
- 患者的叙述可能会减轻或加强这些刻板印象.
- 了解叙事影响对于公平获得医疗保健至关重要.
研究的目的:
- 调查患者叙述是否改变性别刻板印象对初级保健医师选择的影响.
- 为了确定叙事内容,特别是刻板印象破坏反,如何影响患者的选择.
主要方法:
- 一项调查实验,包括来自全国互联网小组的1052名参与者.
- 参与者评估了虚构的初级保健医生与随机的患者叙事反.
- 多变量逻辑回归分析了叙事暴露对临床医生的选择的影响.
主要成果:
- 评价床边态度的参与者在接触患者评论后,选择女性医生的几率提高了67%.
- 暴露于破坏刻板印象的评论,将选择女性医生的几率降低了40%.
- 非破坏性叙述增加了选择女性临床医生的可能性,因为它主要关注关系护理方面的方面.
结论:
- 患者叙述显著影响临床医生的选择,以刻板印象内容为媒介.
- 破坏刻板印象的叙述可以抵消医生选择中的性别期望.
- 医疗保健提供者和政策制定者应该考虑患者反在塑造临床接触时的力量.
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