一般医生的沟通和临床评估中的跨文化有效性:一项实验性研究
Robin Vandecasteele1, Stijn Schelfhout2, Fanny D'hondt3
1Ghent University, Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, Research Group Equity in Health Care, University Hospital Campus entrance 42, C. Heymanslaan 10, 9000 Ghent, Belgium.
Patient education and counseling
|January 18, 2024
概括
一般医生在沟通或临床评估方面没有表现出种族差异. 然而,跨文化特征显著改善了少数民族患者的临床评估,突出了他们在公平医疗保健中的重要性.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 跨文化沟通 跨文化沟通
背景情况:
- 患者的种族可以影响医疗保健互动.
- 了解全科医生 (GPs) 评估中的差异对于公平护理至关重要.
- 跨文化的有效性可能会减轻潜在的种族偏见.
研究的目的:
- 调查全科医生的沟通和临床评估中的种族差异.
- 检查跨文化有效性在这些互动中的作用.
- 确定影响公平患者护理的因素.
主要方法:
- 一个2x2实验设计,使用视频录制的模拟患者咨询.
- 100名全科医生与少数民族和少数民族模拟患者进行了咨询.
- 配对t测试和回归分析评估了种族差异和跨文化关联.
主要成果:
- 在GP沟通或基于患者种族的评估中没有发现统计学上显著的差异.
- 跨文化有效性的各个方面都与全科医生咨询行为有积极的相关性.
- 跨文化特征强烈预测了少数民族患者的临床评估.
结论:
- 跨文化特征,如民族文化同理心,对于GP在跨文化咨询中的临床评估至关重要.
- 结果为改善医疗保健的跨文化有效性提供了干预目标.
- 加强跨文化培训可以促进更高质量和公平的护理服务.
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