临床医生同情心的患者经验与急诊室患者的医疗保健系统不信任有关
Patrice Baptista1, Cameron Gaines1, Christopher W Jones1
1The Department of Emergency Medicine, Cooper University Health Care (CUHC), Cooper Medical School of Rowan University (CMSRU), Camden, New Jersey, USA.
概括
在急诊室 (ED) 的临床医生同情心与减少患者对医疗保健系统的不信任有关. 增强同情心可能会减少健康差异,特别是对于边缘化群体.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 患者体验 患者体验
背景情况:
- 缺乏对医疗保健系统的信任是健康的社会决定因素,与不良结果有关.
- 不信任不成比例地影响到边缘化的人口.
- 临床医师的同情心可能会减轻医疗保健系统的不信任,但这种联系在急诊室 (ED) 没有得到充分研究.
研究的目的:
- 调查患者对医生和护理人员的同情和医疗保健系统对城市学术ED的不信任之间的关联.
- 检查这一跨人口亚组的关联.
主要方法:
- 在美国两个城市学术ED的779名成年患者的嵌套横截面研究 (2023年9月 - 2024年5月).
- 评估了患者报告的同情 (5项同情度量) 和对医疗保健系统的不信任 (医疗保健系统不信任度量).
- 多变量线性回归模型分析了关联,调整共变量并进行子组分析.
主要成果:
- 较高的医生和护理人员同情评分独立地与较低的医疗保健系统不信任有关.
- 黑人患者报告了更高的不信任,特别是基于价值的不信任,但并没有减少同情心.
- 同情与不信任的关联在各个人口亚组中保持一致.
结论:
- 在ED患者中,临床医生感知的同情心增加与患者对医疗保健系统不信任度的减少有显著的关联.
- 促进临床医生的同情心的干预措施可能会改善信任,并减少紧急护理中的健康差异.
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