严重疾病的黑人患者中的医疗不信任:一种混合方法研究
Kristine L Cueva1, Arisa R Marshall2, Cyndy R Snyder3
1Department of Medicine, University of Washington, Seattle, USA. cueva.kristine@gmail.com.
Journal of general internal medicine
|August 26, 2024
概括
患有严重疾病的黑人患者报告说,由于种族主义和歧视,他们对医生的不信任度很高. 解决怀疑,差异和不良沟通对于建立对医疗保健的信任至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 在医疗保健中的种族正义.
背景情况:
- 在终身护理中的种族不平等不成比例地影响黑人患者.
- 经常引用黑人患者对医生的不信任,但患者对种族主义影响的看法未得到充分研究.
- 了解患者体验对于解决医疗保健差异至关重要.
研究的目的:
- 描述严重疾病的黑人患者的种族主义和歧视经历.
- 检查这些经历与医疗不信任之间的关联.
- 为提高医疗保健可信度的战略提供信息.
主要方法:
- 与72名患有严重疾病住院的黑人患者进行的融合混合方法研究.
- 通过调查 (基于组的医疗不信任度量表) 和半结构面试收集的数据.
- 探讨了医学种族主义,沟通和决策的经验.
主要成果:
- 据报道,基于种族的医疗不信任程度很高 (GBMM规模平均值为36.6).
- 关键主题包括对医疗保健工作者的怀疑,个人歧视经历和对沟通的丧.
- 定性发现与定量不信任子尺度 (怀疑,群体差异,缺乏支持) 相一致.
结论:
- 患有严重疾病的黑人患者表现出严重的医疗不信任.
- 不信任受到了对医疗保健工作者的怀疑,感知到的种族差异和不充分的支持的影响.
- 意识到种族的战略对于提高医疗机构和工作者的可信度至关重要.
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