"我根本没有被听到":黑人患者在手术中沟通的观点
Bryce Gantt1, Noelle Thompson2, Natalie B Baxter3
1Howard University College Medicine, Washington, DC, USA.
American journal of surgery
|November 2, 2025
概括
黑人患者经历了轻视和缺乏同情心,影响了手术护理中的信任和治疗决策. 改善患者与提供者之间的沟通对于减少健康差异至关重要.
科学领域:
- 卫生公平研究 卫生公平研究
- 手术护理的差异和差异 在手术护理方面存在差异.
- 患者-医疗服务提供者沟通
背景情况:
- 黑人患者在美国的手术护理中面临着显著的差异.
- 沟通障碍和结构问题有助于这些不平等.
- 带道综合征 (CTS) 作为研究这些沟通动态的模型.
研究的目的:
- 探索黑人患者对患者提供者沟通的看法.
- 了解沟通如何影响手术护理中的治疗决策.
- 确定影响黑人患者体验的关键沟通主题.
主要方法:
- 与黑人患者进行的28次深入采访.
- 用于定性分析的解释性描述方法.
- 对转录的采访进行主题分析.
主要成果:
- 三个突出的主题是:轻视,缺乏同情心和信息的力量.
- 轻视和缺乏同情心导致信任减少和脱离.
- 隐信息进一步削弱了信任和治疗的坚持.
结论:
- 患者与医疗服务提供者之间的沟通显著影响了黑人患者的信任和治疗决策.
- 解决沟通障碍对于减少外科护理差异至关重要.
- 改善沟通是朝着在手术环境中推进健康公平的关键一步.
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