LaVeist Thomas A, Carroll Tamyra
Center for Health Disparities Solutions, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
J Natl Med Assoc. 2002 Nov;94(11):937-43.
The purpose of this study is to examine predictors of physician-patient race concordance and the effect of race concordance on patients' satisfaction with their primary physicians among African American patients. The specific research question is, do African American patients express greater satisfaction with their care when they have an African American physician? Using the Commonwealth Fund, Minority Health Survey, we conduct multivariate analysis of African American respondents who have a usual source of care (n = 745). More than 21% of African American patients reported having an African American physician. Patient income and having a choice in the selection of the physician were significant predictors of race concordance. And, patients who were race concordant reported higher levels of satisfaction with care compared with African American patients that were not race concordant.
本研究的目的是检验医患种族一致性的预测因素,以及种族一致性对非裔美国患者对其初级医生满意度的影响。具体研究问题是,非裔美国患者在拥有非裔美国医生时,是否对其医疗护理表达出更高的满意度?我们使用联邦基金少数族裔健康调查,对有常规医疗来源的非裔美国受访者(n = 745)进行多变量分析。超过21%的非裔美国患者报告称有非裔美国医生。患者收入以及在选择医生时有选择权是种族一致性的重要预测因素。而且,与种族不一致的非裔美国患者相比,种族一致的患者对医疗护理的满意度更高。