与提供者相关的医疗保健焦虑,双语提供者偏好和跨境医疗保健接入之间的途径:美国-墨西哥边境社区的结构方程建模分析
Jeong-Hui Park1,2,3, Hyunrae Kim4, Tyler Prochnow1,2,3
1School of Public Health, Texas A&M Health Science Center, College Station, TX, USA.
American journal of health promotion : AJHP
|February 26, 2026
概括
双语提供者偏好减少医疗保健焦虑,并改善边境社区居民的跨境医疗保健接入. 语言一致性是提高护理准入的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社会语言学 社会语言学
- 健康差异 在健康上的差异
背景情况:
- 医疗保健焦虑可能是获得医疗保健的重要障碍,特别是对于语言少数群体.
- 跨境医疗保健的获取对美墨边境社区的居民来说是一个关键问题.
- 提供者语言偏好在患者-提供者沟通和医疗保健体验中发挥作用.
研究的目的:
- 调查双语提供者偏好在医疗保健焦虑中的调解作用.
- 检查医疗保健焦虑,双语提供者偏好和跨境医疗保健接入之间的关系.
- 了解语言一致性如何影响边境地区的医疗保健接入.
主要方法:
- 采用多道采样方法,招募了德克萨斯州布朗斯维尔的144名成年居民.
- 双语 (英语/西班牙语) 调查测量了医疗保健焦虑,双语提供者偏好和跨境医疗保健准入.
- 使用结构方程建模和路径分析来评估直接和间接的影响.
主要成果:
- 在与提供者相关的医疗保健焦虑和双语提供者偏好之间发现了显著的积极关联 (β = 0.20,P = 0.018).
- 双语医疗服务提供者的偏好与跨境医疗服务的获取有很强的关联 (β = 0.47,P < 0.001).
- 双语提供者偏好显著调解了医疗保健焦虑和跨境医疗保健接入之间的关系 (β = 0.10,P = 0.04).
结论:
- 双语提供者偏好是医疗保健焦虑和跨境医疗保健在美墨边境社区之间的重要调解者.
- 提高与医疗保健提供者的语言一致性对于减少患者焦虑至关重要.
- 解决语言偏好可以改善对不同人口的医疗保健准入和公平.
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