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美国患者与医疗服务提供者之间的沟通 粮食不安全的成年人
Sungchul Park1, Seth A Berkowitz2
1Department of Health Policy and Management, College of Health Science, Korea University, Seoul, Republic of Korea; BK21 FOUR R&E Center for Learning Health Systems, Korea University, Seoul, Republic of Korea.
粮食不安全的成年人经历了较差的患者-提供者沟通,导致减少获得护理的机会,增加急诊次数和更高的医疗费用. 解决沟通障碍对于这个弱势群体至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生沟通健康沟通
- 健康差异 在健康上的差异
背景情况:
- 粮食不安全是影响成年人的重大公共卫生问题.
- 患者提供者沟通不良可能会对医疗保健提供和结果产生负面影响.
- 粮食不安全,沟通和获得医疗保健之间的关系仍未得到充分探索.
研究的目的:
- 调查粮食不安全的成年人是否报告与粮食安全的成年人相比,患者与提供者之间的沟通较差.
- 检查患者提供者沟通和粮食不安全如何影响获得护理,医疗保健利用和财务负担.
- 确定粮食不安全,有沟通困难的成年人面临的具体医疗保健挑战.
主要方法:
- 利用了医学支出小组调查 (2016年,2017年,2021年) 的数据.
- 分析了患者提供者沟通,粮食不安全,获得护理,医疗保健利用和财务负担.
- 使用统计分析来确定变量之间的关联.
主要成果:
- 粮食不安全的成年人报告说,患者与医疗服务提供者之间的沟通质量明显降低.
- 粮食不安全与减少获得通常护理来源的机会有关,特别是在沟通能力较低的人群中.
- 缺乏沟通能力的食物不安全的成年人经历了更高的紧急诊所访问率和医疗账单支付问题.
结论:
- 调查结果突出了粮食不安全和患者-提供者沟通质量的关键交叉点.
- 医疗保健系统必须制定有针对性的沟通策略,以支持粮食不安全的个人.
- 改善沟通可能有助于缓解弱势群体在护理获取和经济压力方面的差异.
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