种族差异感知种族主义,患者提供者沟通和医疗保健利用:亚裔美国人
1Valenti School of Communication, University of Houston, Houston, TX, USA.
Ethnicity & health
|October 10, 2024
概括
亚裔美国人小组的种族主义经历不同,影响他们的医疗保健互动和服务使用. 了解这些感知是改善患者提供者沟通和医疗保健公平的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康和疾病的社会学
- 健康差距 研究 研究 研究 研究
背景情况:
- 种族主义通过影响患者提供者沟通和服务利用,显著影响医疗保健.
- 包括种族在内的社会文化因素在医疗保健环境中发挥着至关重要的作用.
- 了解种族差异对于公平的医疗保健提供至关重要.
研究的目的:
- 研究亚裔美国人亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔
- 确定这些种族主义观念是否预测患者提供者沟通和医疗保健服务使用情况.
- 识别种族主义感知和医疗保健参与中的子组特定模式.
主要方法:
- 一项在线调查评估了菲律宾,日本,中国,亚洲印度,韩国和越南参与者的种族主义看法.
- ANOVA测试比较了日常种族主义,内化种族主义和医疗保健种族主义观念中的群体差异.
- 多重回归分析调查了种族主义观念对通信和服务利用的预测能力.
主要成果:
- 亚裔美国人亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔
- 对种族主义的看法和社会经济因素不同预测患者提供者沟通和医疗保健服务的使用情况.
- 每天的种族主义预测了大多数子群体 (越南人除外) 的沟通;内化种族主义预测了菲律宾和中国参与者的沟通.
结论:
- 社会人口学因素和种族主义观念的复杂相互作用塑造了亚裔美国人的医疗保健经验.
- 需要量身定制的干预措施来应对不同亚裔美国人亚组面临的独特挑战.
- 促进公平的医疗保健准入和积极的患者与提供者关系需要理解这些细微的观念.
相关概念视频
Stereotypes, Prejudice, and Discrimination
90.0K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.0K
Surveys
14.7K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
14.7K
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Ethical Issues
866
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
866
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Bias in Epidemiological Studies
163
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
163


