在选修儿科手术咨询期间的父母种族和沟通
medRxiv : the preprint server for health sciences
|September 5, 2025
概括
在儿童手术咨询中存在种族差异, 黑人父母的临床医生参与度较低, 临床医生占主导地位较高. 解决沟通缺口对于公平的外科护理至关重要.
科学领域:
- 儿童手术
- 健康上的差异
- 临床沟通
背景情况:
- 那些来自边缘化的种族群体的儿童往往面临比白人儿童更糟糕的手术结果.
- 临床沟通模式可能会加剧医疗保健中的种族差异.
研究的目的:
- 在儿童选择性手术的初始咨询中调查家长与医生沟通的种族差异.
- 识别与父母种族相关的特定沟通行为.
主要方法:
- 一项横截面研究分析了153名家长和医生在常见儿科手术期间的录音.
- 使用罗特互动分析系统 (RIAS) 编码沟通,以测量口头主导,以患者为中心和情感沟通.
- 用通用估计方程来评估父母种族与沟通结果之间的关联,并调整社会人口因素.
主要成果:
- 与白人父母相比,涉及黑人父母的临床医生口头占优势显著.
- 黑人家长总体上发表的言论较少, 咨询期间表现的积极影响较低.
- 虽然一些差异是由社会人口统计学因素影响的,但在调整后临床医师的优势仍然存在.
结论:
- 父母的种族与儿童手术咨询的不同沟通模式有关.
- 在临床医生,家长和互动沟通方面观察到差异,家长沟通发挥了重要作用.
- 实施以患者为中心的沟通策略可能有助于减少社会距离,提高儿科手术护理的公平性.
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