Clark Trina, Sleath Betsy, Rubin Richard H
School of Pharmacy and Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC, USA.
Patient Educ Couns. 2004 Apr;53(1):87-93. doi: 10.1016/S0738-3991(03)00109-5.
The purpose of this study is to examine the association of ethnicity and language concordance with physician-patient agreement about physicians' recommendations for patient health behavior in the following areas: diet, exercise, medication, smoking, stress, and weight. Twenty-seven resident physicians at the University of New Mexico's internal medicine and family practice clinics and 427 of their patients participated. Random effects models were used to estimate the influence of ethnicity and language concordance on whether patients and physicians agreed about specific recommended changes in patient behavior. Ethnicity concordance was not significantly associated with physician-patient agreement. Language concordance positively influenced the likelihood of agreement about exercise but negatively influenced agreement about medications. The lowest percentage of agreement occurred in the area of medication regimens (60%). The results from this study indicate that language is an important barrier to physician-patient agreement, while ethnicity concordance has no effect. However, the influence of whether the physician and patient speak the same language on agreement is unclear and warrants further research.
饮食、运动、用药、吸烟、压力和体重。新墨西哥大学内科和家庭医疗诊所的27名住院医师及其427名患者参与了研究。使用随机效应模型来估计种族和语言一致性对患者与医生是否就患者行为的特定推荐改变达成一致的影响。种族一致性与医患一致性没有显著关联。语言一致性对运动方面的一致性可能性有积极影响，但对用药方面的一致性有消极影响。一致性比例最低的是用药方案领域（60%）。本研究结果表明，语言是医患达成一致的重要障碍，而种族一致性没有影响。然而，医生和患者是否说同一种语言对达成一致的影响尚不清楚，值得进一步研究。
