Sleath Betsy, Rubin Richard H
School of Pharmacy, Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Beard Hall CB # 7360, Chapel Hill, NC 27599-7360, USA.
Patient Educ Couns. 2002 Dec;48(3):243-52. doi: 10.1016/s0738-3991(02)00177-5.
The purpose of this study was to describe the influence of patient gender and ethnicity on physician-patient communication about depression and anxiety. A data set comprised of audiotapes and transcripts of 383 patients' primary care visits was analyzed. Depression was brought up during 25% of medical visits. Depression was more likely to be brought up during the visits of patients who rated their emotional health poorly. Female patients and more educated patients were more likely to initiate the discussion. Anxiety was brought up during 29.5% of medical visits. Anxiety was more likely to be brought up during family practice visits and during visits with Asian physicians. Physicians were more likely to ask male patients and patients who had fewer previous visits closed-ended questions about anxiety. Physicians were more likely to ask Hispanic patients and patients who rated their emotional health poorly one or more open-ended questions about anxiety. Female physicians were more likely to counsel patients than male physicians.
本研究的目的是描述患者性别和种族对医患之间关于抑郁和焦虑沟通的影响。分析了一个由383名患者初级保健就诊的录音带和文字记录组成的数据集。在25%的就诊中提到了抑郁。在对自己情绪健康评价较差的患者就诊期间，抑郁更有可能被提及。女性患者和受教育程度较高的患者更有可能发起讨论。在29.5%的就诊中提到了焦虑。在家庭医疗就诊期间以及与亚洲医生就诊时，焦虑更有可能被提及。医生更有可能向男性患者和之前就诊次数较少的患者询问有关焦虑的封闭式问题。医生更有可能向西班牙裔患者和对自己情绪健康评价较差的患者询问一个或多个有关焦虑的开放式问题。女医生比男医生更有可能为患者提供咨询。
