患者种族/种族与医生与患者沟通的关系:混合方法系统审查
Ann Neville Miller1, Venkata Naga Sreelalitapriya Duvuuri2, Maazen Khan2
1Nicholson School of Communication and Media, University of Central Florida.
Health communication
|January 13, 2025
概括
医生与患者的沟通因种族而异,结果各不相同. 一些研究表明,少数群体患者的沟通能力更好,而另一些研究则表明,患者的体验更差,这凸显了进一步研究的必要性.
科学领域:
- 健康差异 在健康上的差异
- 医学社会学 医学社会学
- 卫生沟通健康沟通
背景情况:
- 社会和文化障碍可能会导致健康差异.
- 医生沟通模式是造成这些差异的一个潜在因素.
研究的目的:
- 根据患者的种族,审查医生沟通差异的证据.
- 综合关于患者的种族/种族如何影响沟通经验的研究结果.
主要方法:
- 79项研究的系统审查.
- 包括各种方法 (内容分析,调查,焦点小组).
- 沟通分析作为行为和患者判断的操作化.
主要成果:
- 四分之三的分析没有发现医生与种族之间的沟通有显著差异.
- 少数研究表明,黑人和西班牙裔患者的沟通更好.
- 大约五分之一的人报告说,与白人患者相比,黑人,西班牙裔,亚洲/太平洋岛民和美洲原住民患者的沟通体验较差.
结论:
- 根据患者的种族,医生沟通的证据是混合的和复杂的.
- 方法上的局限性阻碍了关于沟通经验差异的最终结论.
- 需要进一步的研究,以了解影响不同群体患者提供者沟通的上下文因素.
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