Laveist Thomas A, Nuru-Jeter Amani
Johns Hopkins University, Bloomberg School of Public Health, Department of Health Policy and Management, 624 North Broadway, Room 441, Baltimore, Maryland 21205, USA.
J Health Soc Behav. 2002 Sep;43(3):296-306.
We examined a national sample of African American, white, Hispanic, and Asian American respondents to test the hypothesis that doctor-patient race concordance is predictive of patient satisfaction. Our analysis examined racial/ethnic differences in patient satisfaction among patients in multiple combinations of doctor-patient race/ethnicity pairs. Additionally, we outline the determinants of doctor-patient race concordance. The analysis used the 1994 Commonwealth Fund Minority Health Survey to construct a series of multivariate models. We found that for respondents in each race/ethnic group, patients who had a choice in the selection of their physician were more likely to be race concordant. Whites were more likely to be race concordant with their physician compared to African American, Hispanic, and Asian American respondents. Among each race/ethnic group, respondents who were race concordant reported greater satisfaction with their physician compared with respondents who were not race concordant. These findings suggest support for the continuation of efforts to increase the number of minority physicians, while placing greater emphasis on improving the ability of physicians to interact with patients who are not of their own race.
我们调查了一个包含非裔美国人、白人、西班牙裔和亚裔美国人受访者的全国样本，以检验医患种族匹配度可预测患者满意度这一假设。我们的分析考察了医患种族/族裔配对的多种组合中患者满意度的种族/族裔差异。此外，我们概述了医患种族匹配度的决定因素。该分析使用了1994年联邦基金少数族裔健康调查来构建一系列多变量模型。我们发现，对于每个种族/族裔群体中的受访者而言，在选择医生时有选择权的患者更有可能实现种族匹配。与非裔美国人、西班牙裔和亚裔美国人受访者相比，白人更有可能与他们的医生实现种族匹配。在每个种族/族裔群体中，与非种族匹配的受访者相比，种族匹配的受访者对其医生的满意度更高。这些发现表明，支持继续努力增加少数族裔医生的数量，同时更加重视提高医生与非自身种族患者互动的能力。
