Cooper Lisa A, Beach Mary Catherine, Johnson Rachel L, Inui Thomas S
Welch Center for Prevention, Epidemiology, & Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
J Gen Intern Med. 2006 Jan;21 Suppl 1(Suppl 1):S21-7. doi: 10.1111/j.1525-1497.2006.00305.x.
There is increasing evidence that racial and ethnic minority patients receive lower quality interpersonal care than white patients. Therapeutic relationships constitute the interpersonal milieu in which patients are diagnosed, given treatment recommendations, and referred for tests, procedures, or care by consultants in the health care system. This paper provides a review and perspective on the literature that explores the role of relationships and social interactions across racial and ethnic differences in health care. First, we examine the social and historical context for examining differences in interpersonal treatment in health care along racial and ethnic lines. Second, we discuss selected studies that examine how race and ethnicity influence clinician-patient relationships. While less is known about how race and ethnicity influence clinician-community, clinician-clinician, and clinician-self relationships, we briefly examine the potential roles of these relationships in overcoming disparities in health care. Finally, we suggest directions for future research on racial and ethnic health care disparities that uses a relationship-centered paradigm.
越来越多的证据表明，与白人患者相比，少数族裔患者获得的人际护理质量较低。治疗关系构成了人际环境，在这个环境中，患者在医疗保健系统中接受诊断、获得治疗建议，并被转介给顾问进行检查、手术或护理。本文对探讨医疗保健中跨种族和族裔差异的关系及社会互动作用的文献进行了综述并提出了观点。首先，我们审视了从种族和族裔角度研究医疗保健中人际治疗差异的社会和历史背景。其次，我们讨论了一些研究，这些研究考察了种族和族裔如何影响医患关系。虽然关于种族和族裔如何影响临床医生与社区、临床医生与临床医生以及临床医生与自身关系的了解较少，但我们简要探讨了这些关系在克服医疗保健差距方面的潜在作用。最后，我们为未来以关系为中心范式的种族和族裔医疗保健差距研究提出了方向。
