LaVeist T A, Nickerson K J, Bowie J V
Johns Hopkins University, School of Hygiene and Public Health, Department of Health Policy and Management, Baltimore, MD 21205, USA.
Med Care Res Rev. 2000;57 Suppl 1:146-61. doi: 10.1177/1077558700057001S07.
The authors examine determinants of satisfaction with medical care among 1,784 (781 African American and 1,003 white) cardiac patients. Patient satisfaction was modeled as a function of predisposing factors (gender, age, medical mistrust, and perception of racism) and enabling factors (medical insurance). African Americans reported less satisfaction with care. Although both black and white patients tended not to endorse the existence of racism in the medical care system, African American patients were more likely to perceive racism. African American patients were significantly more likely to report mistrust. Multivariate analysis found that the perception of racism and mistrust of the medical care system led to less satisfaction with care. When perceived racism and medical mistrust were controlled, race was no longer a significant predictor of satisfaction.
作者研究了1784名心脏病患者（781名非裔美国人和1003名白人）对医疗护理满意度的决定因素。患者满意度被建模为易患因素（性别、年龄、医疗不信任和种族主义认知）和促成因素（医疗保险）的函数。非裔美国人对护理的满意度较低。尽管黑人和白人患者都倾向于不认可医疗护理系统中存在种族主义，但非裔美国患者更有可能察觉到种族主义。非裔美国患者报告不信任的可能性显著更高。多变量分析发现，对种族主义的认知和对医疗护理系统的不信任导致对护理的满意度降低。当控制了察觉到的种族主义和医疗不信任后，种族不再是满意度的显著预测因素。
