Malat Jennifer, van Ryn Michelle, Purcell David
Department of Sociology, University of Cincinnati, PO Box 210378, Cincinnati, OH 45221-0378, USA.
J Natl Med Assoc. 2009 Aug;101(8):800-7. doi: 10.1016/s0027-9684(15)31009-9.
While research shows that race is an important factor in patient-doctor interaction, very little is known about patients' attitudes toward doctors' race or nativity. This paper examines 2 specific components of these attitudes. We found that 16% of a Cincinnati, Ohio, sample believed that same-race doctors better understand their health problems, and 22% expected to be more at ease with same-race doctors. Blacks were more likely than whites to hold this belief and expectation, with the largest racial difference among those with college degrees. Looking at nativity, nearly one-third of the respondents believed that US-born doctors better understand their health problems and expected to be more at ease with US-born doctors. Again, blacks were more likely than whites to report a more positive view of US-born doctors compared to foreign-born doctors, with the effect of race varying by education. Future research should further explicate the nature of these attitudes and assess how these attitudes affect health care interactions.
虽然研究表明种族是医患互动中的一个重要因素,但对于患者对医生种族或出生地的态度却知之甚少。本文考察了这些态度的两个具体组成部分。我们发现,俄亥俄州辛辛那提市的一个样本中有16%的人认为同种族医生能更好地理解他们的健康问题,22%的人期望与同种族医生相处时更自在。黑人比白人更有可能持有这种信念和期望,在拥有大学学位的人群中种族差异最大。在出生地方面,近三分之一的受访者认为美国出生的医生能更好地理解他们的健康问题,并期望与美国出生的医生相处时更自在。同样,与外国出生的医生相比,黑人比白人更有可能对美国出生的医生持更积极的看法,种族的影响因教育程度而异。未来的研究应该进一步阐明这些态度的本质,并评估这些态度如何影响医疗保健互动。