教育,语言和文化一致性影响整形外科的患者与医生的沟通
Alondra Diaz1, Julio C Castillo Tafur, Ye Lin
1Department of Orthopaedics, University of Illinois at Chicago, Chicago, Illinois.
The Journal of bone and joint surgery. American volume
|June 28, 2024
概括
与骨科外科医生的语言和文化一致性改善了沟通,特别是对于教育程度较低的西班牙裔和非裔美国患者. 增加外科医生的多样性和文化谦卑对于公平的护理至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 卫生公平性健康公平性
- 患者与医生之间的沟通
背景情况:
- 整形外科手术与美国人口相比,具有显著的多样性差距.
- 这种差异可能会造成与健康素养,语言和文化差异相关的沟通障碍,可能会加剧健康不平等.
- 这项研究调查了教育程度,语言和文化一致性如何影响骨科护理中的患者与医生的沟通.
研究的目的:
- 评估教育成绩对患者与医生的沟通在整形外科的影响.
- 评估语言能力和文化一致性在城市骨科诊所患者与医生的互动中的作用.
- 确定导致骨科护理健康差异的因素.
主要方法:
- 一项涉及394名城市骨科诊所患者的横截面研究.
- 患者完成了一项利克特式调查,评估了人口统计,教育,沟通,满意度,语言能力和文化因素.
- 统计分析包括单向ANOVA,千平方测试和威尔士t测试来评估调查答案.
主要成果:
- 更高的教育程度 (高中毕业) 与与骨科外科医生改善的沟通相关 (p < 0.001).
- 西班牙裔患者报告说,英语水平较低,沟通能力低下 (p < 0.001),教育影响他们对外科医生的英语理解 (p < 0.001).
- 非洲裔美国人和西班牙裔患者优先考虑外科医生的文化理解,而不是白人患者 (p < 0.001);西班牙裔患者看到一个一致的外科医生更重视它 (p = 0.04).
结论:
- 患者和医生的语言一致性对于高质量的骨科护理至关重要,特别是对于教育程度较低的患者.
- 拉美裔和非裔美国人在骨科环境中高度重视文化一致性.
- 在整形外科医生中增强文化谦逊,招募多元化,多语言的劳动力是解决少数群体健康需求和促进健康公平的重要步骤.
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