对初级保健医生对高血压黑人患者的看法进行了定性探索
Ebiere Okah1, Enid Logan2, Drexler James3
1Department of Family Medicine and Community Health, University of Minnesota School of Medicine, 717 Delaware St SE, Minneapolis, MN, 55414, USA. Ebiere@umn.edu.
Journal of racial and ethnic health disparities
|October 15, 2025
概括
临床医生认为黑人患者的高血压更难管理,导致改变了护理方法. 解决刻板印象对于公平的高血压管理和改善患者与提供者关系至关重要.
科学领域:
- 医学社会学 医学社会学
- 健康差距 研究 研究 研究 研究
- 家庭医学 家庭医学 家庭医学
背景情况:
- 医疗保健中的刻板印象对黑人美国人的治疗关系产生了负面影响.
- 现有的研究突出了患者的经验,但临床医生对高血压管理的看法未得到充分研究.
研究的目的:
- 探索家庭医学医生对高血压黑人患者的假设.
- 了解临床医生对黑人患者高血压管理障碍的看法.
主要方法:
- 解释性描述研究涉及30名明尼苏达州家庭医学医生.
- 使用诱导和演方法对采访成绩单进行主题分析.
主要成果:
- 由于外部因素,医生认为黑人患者的高血压更具挑战性.
- 临床医生根据患者的意愿和能力的假设调整护理,受不信任和社会生物学因素的影响.
- 感知障碍与刻板印象保持一致,一些临床医生承认对护理的潜在投资减少.
结论:
- 临床医生对黑人患者高血压挑战的假设可能会减少参与.
- 为公平的高血压管理,平衡人口级数据与个性化护理至关重要.
- 减少刻板印象需要仔细考虑如何在临床实践中讨论和应用人口差异.
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