影响美国成年人与医疗保健提供者分享社会需求信息的舒适程度的因素
Nikhil A Ahuja1, Mahima Gulabani2, Nirmal A Ahuja3
1Department of Public Health, Slippery Rock University of Pennsylvania, Slippery Rock, PA, USA.
Patient education and counseling
|November 12, 2024
概括
美国成年人.
科学领域:
- 健康的社会决定因素
- 获得医疗保健和公平的机会.
- 患者-医疗服务提供者沟通
背景情况:
- 了解患者在披露社会需求时的舒适度对于有效的医疗保健至关重要.
- 粮食不安全和住房不稳定等社会需求对健康结果产生重大影响.
- 之前的研究表明,医疗保健机构的公开沟通存在障碍.
研究的目的:
- 调查影响美国成年人与医疗保健提供者分享社会需求信息的意愿因素.
- 确定对患者披露粮食不安全,交通困难和住房不稳定的人口和系统影响.
- 分析信任,歧视,社会隔离和以患者为中心的沟通在披露过程中的作用.
主要方法:
- 分析了2022年健康信息国家趋势调查 (HINTS第6周期) 的数据.
- 包括6252名美国成年人的全国代表性样本.
- 应用加权双变量和多变量物流回归模型来评估分享社会需求信息的舒适度.
主要成果:
- 医疗保健中的种族/种族歧视与分享所有研究的社会需求的不适程度增加有关.
- 对医疗保健系统的高度信任与披露粮食不安全和运输困难的更大舒适度相关.
- 以患者为中心的沟通 (PCC) 和社会隔离得分对披露社会需求的舒适程度产生了重大影响.
结论:
- 信任,歧视经历,社会隔离和以患者为中心的沟通是美国成年人分享社会需求信息舒适度的关键决定因素.
- 医疗保健系统必须优先考虑建立信任,减轻歧视,加强患者和医疗服务提供者的沟通,并培养支持性的社会环境.
- 政策干预应旨在解决系统性障碍,并促进在临床实践中关于健康的社会决定因素的开放对话.
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