胃肠道手术后感知歧视,沟通和医疗利用:一个温和的调解分析
Odysseas P Chatzipanagiotou1, Areesh Mevawalla1, Azza Sarfraz1
1Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA.
概括
在医疗保健环境中感知到的歧视增加了由于紧张而延迟护理的可能性. 患者与临床医生的沟通显著调解了这种关系,影响了健康结果.
科学领域:
- 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
- 患者的治疗结果.
背景情况:
- 在医疗保健机构 (PDHS) 感知到的歧视与美国的延迟医疗保健有关.
- 手术是一个关键的关键时刻,经验可以影响未来的医疗保健利用.
- 了解患者-临床医生沟通 (PCC) 和社会人口统计学因素的作用至关重要.
研究的目的:
- 评估PDHS与延迟护理之间的关联.
- 评估PCC在这个协会中的调解作用.
- 检查社会人口统计学因素对PDHS延迟护理关系的温和影响.
主要方法:
- 结构方程建模 (SEM) 用于分析来自我们所有人的研究计划的数据.
- 包括接受胃肠道 (GI) 程序的成年人.
- 差异分解量化了社会人口统计学调节者的贡献.
主要成果:
- 较高的PDHS与更糟糕的PCC相关,并增加了延迟护理的几率 (aOR 1.55).
- 在PDHS和延迟护理之间的关联中,PCC占14.8%.
- 延迟护理与较差的生活质量,心理健康和身体健康有关.
结论:
- 患者与临床医生的沟通调解了所感知的歧视与医疗保健延迟之间的联系.
- 社会人口统计学因素调节了这种关系.
- 越来越多的歧视感和较差的沟通增加了延迟护理的风险,对健康和生活质量产生负面影响.
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