在高血压患者中,患者与医生的语言一致性和心血管结果
Michael Reaume1, Mathieu N Labossière2, Ricardo Batista3,4
1Department of Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
JAMA network open
|February 19, 2025
概括
语言一致的护理可以减少高血压患者的主要不良心血管事件 (MACE). 以母语接受护理的通话人士的MACE数量减少了36%,这凸显了少数民族语言医疗保健的差异.
科学领域:
- 心血管健康 心血管健康
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 来自少数民族语言社区的患者在医疗保健中经常经历较低的质量和安全.
- 医生-病人语言对应对健康结果的影响,特别是对于心血管事件,仍然未得到充分研究.
研究的目的:
- 研究患者与医生的语言一致性与高血压成年患者中主要心血管不良事件 (MACE) 风险之间的关联.
- 根据语言一致性,识别医疗保健结果中的潜在差异.
主要方法:
- 使用加拿大社区健康调查数据 (2003-2014) 的回顾性队列研究.
- 包括自报高血压的成年人,不包括北克居民.
- 与住院和死亡记录相关的调查反应;分析了2023年10月至2024年5月的数据.
主要成果:
- 在124,583名患者中,91.7%的人说英语,3.8%的人说法语,0.3%的人说土著语言,4.2%的人说全方位语言.
- 很少有土著语言使用者接受了与语言一致的护理 (<4.6%).
- 接受语言一致的护理的全方位发音者与接受不一致的护理的人相比,MACE的风险降低了36% (HR,0.64;95% CI,0.51 - 0.80). 在讲法语的人群中没有发现显著的差异.
结论:
- 在少数民族语言群体之间,在获得语言一致的护理和MACE风险方面存在显著的差异.
- 语言一致的护理显示出有潜力改善少数民族语言社区的个体的健康结果,特别是说方言的人.
- 需要进一步的研究来解决系统性障碍,并促进公平的医疗保健服务.
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