Saha Somnath, Arbelaez Jose J, Cooper Lisa A
Section of General Internal Medicine, Portland Veterans Affairs Medical Center, Department of Veterans Affairs, Portland, OR 97239, USA.
Am J Public Health. 2003 Oct;93(10):1713-9. doi: 10.2105/ajph.93.10.1713.
This study explored whether racial differences in patient-physician relationships contribute to disparities in the quality of health care.
We analyzed data from The Commonwealth Fund's 2001 Health Care Quality Survey to determine whether racial differences in patients' satisfaction with health care and use of basic health services were explained by differences in quality of patient-physician interactions, physicians' cultural sensitivity, or patient-physician racial concordance.
Both satisfaction with and use of health services were lower for Hispanics and Asians than for Blacks and Whites. Racial differences in the quality of patient-physician interactions helped explain the observed disparities in satisfaction, but not in the use of health services.
Barriers in the patient-physician relationship contribute to racial disparities in the experience of health care.
本研究探讨医患关系中的种族差异是否会导致医疗保健质量的差异。
我们分析了英联邦基金2001年医疗保健质量调查的数据，以确定患者对医疗保健的满意度和基本医疗服务使用方面的种族差异是否可以通过医患互动质量、医生的文化敏感性或医患种族一致性的差异来解释。
西班牙裔和亚裔对医疗服务的满意度和使用率均低于黑人和白人。医患互动质量的种族差异有助于解释观察到的满意度差异，但无法解释医疗服务使用方面的差异。
医患关系中的障碍导致了医疗保健体验中的种族差异。
