心脏病学遇到的歧视和评价的沟通行为
Kathryn I Pollak1, Clemontina A Davenport2, Veronica Duck3
1Cancer Prevention and Control, Duke Cancer Institute, Durham, NC, USA; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Patient education and counseling
|February 23, 2024
概括
这项研究开发了一本可靠的歧视性沟通代码书,发现了更少的定制陈述和更多的刻板印象行为,这些行为针对心脏病治疗中的黑人患者. 这凸显了临床医生与患者互动的差异.
科学领域:
- 医学沟通 医学沟通
- 健康差距 研究 研究 研究 研究
- 定性研究方法 定性研究方法
背景情况:
- 现有的通信代码书缺乏患者的意见,可能错过了种族偏见的关键方面.
- 了解临床医生与患者沟通的种族差异对于公平的医疗保健至关重要.
研究的目的:
- 在黑人患者倡导者的投入下,开发一本针对歧视性/评价性沟通行为的新型代码书.
- 为了可靠地编码这些行为,并评估心脏病遇到的种族差异.
主要方法:
- 一本代码书与黑人患者倡导者共同创建.
- 分析了101个白人心脏病专家和黑人/白人患者之间的心脏病记录.
- 基于患者的种族,具体的沟通行为的流行程度进行了比较.
主要成果:
- 与白人患者相比,心脏病学家对黑人患者使用的量身定制陈述较少 (49%对68%).
- 刻板印象行为仅在与黑人患者相遇时才被发现.
- 黑人患者的调整和中断陈述的发生率较低,忙的全球得分更高.
结论:
- 建立了一种可靠的方法来编码临床环境中的歧视性/评价性沟通行为.
- 未来的研究应该在各种数据集和临床环境中验证和概括这些代码.
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