Jang Yuri, Kim Giyeon, Chiriboga David A
Department of Aging and Mental Health, University of South Florida, Tampa, Florida 13301, USA.
J Am Geriatr Soc. 2005 Sep;53(9):1613-7. doi: 10.1111/j.1532-5415.2005.53518.x.
The present study assessed predictive models of subjective perception of health, healthcare utilization (hospital visits), and satisfaction with healthcare service using a sample of 230 older Korean Americans. Predisposing characteristics (age, sex, and education), health needs (chronic conditions, functional disability, and number of sick days), and a variety of enabling factors (health insurance, English speaking ability, transportation, living arrangement, trust in Western medicine, and reported experience of disrespect in medical settings) were considered. After controlling for predisposing and need factors, health insurance coverage was found to be a significant enabling factor for hospital visits. Subjective perception of health was found to be significant not only for healthcare utilization, but also for satisfaction with service. A greater likelihood of satisfaction was also observed in individuals with health insurance, better English-speaking ability, and greater trust in Western medical care. The reported experience of disrespect or discrimination in medical settings significantly reduced the odds of satisfaction with service.
本研究以230名韩裔美国老年人为样本，评估了健康主观认知、医疗保健利用（医院就诊）以及对医疗服务满意度的预测模型。研究考虑了 predisposing 特征（年龄、性别和教育程度）、健康需求（慢性病、功能残疾和病假天数）以及各种促成因素（医疗保险、英语能力、交通、居住安排、对西医的信任以及在医疗环境中遭遇不尊重的报告经历）。在控制了 predisposing 和需求因素后，发现医疗保险覆盖是医院就诊的一个重要促成因素。健康主观认知不仅对医疗保健利用具有重要意义，对服务满意度也具有重要意义。在拥有医疗保险、英语能力较好以及对西医信任度较高的个体中，也观察到了更高的满意度可能性。在医疗环境中报告的不尊重或歧视经历显著降低了服务满意度的几率。
