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成效有限且参差不齐:医生为减少种族和族裔差异所做的努力。

Modest and uneven: physician efforts to reduce racial and ethnic disparities.

作者信息

Reschovsky James D, Boukus Ellyn R

出版信息

Issue Brief Cent Stud Health Syst Change. 2010 Feb(130):1-6.

PMID:20201157
Abstract

While nearly half of U. S. physicians identify language or cultural communication barriers as obstacles to providing high-quality care, physician adoption of practices to overcome such barriers is modest and uneven, according to a new national study by the Center for Studying Health System Change (HSC). Despite broad consensus among the medical community about how physicians can help to address and, ultimately, reduce racial and ethnic disparities, physician adoption of several recommended practices to improve care for minority patients ranges from 7 percent reporting they have the capability to track patients' preferred language to 40 percent reporting they have received training in minority health issues to slightly more than half reporting their practices provide some interpreter services. The challenges physicians face in providing quality health care to all of their patients will keep mounting as the U.S. population continues to diversify and the minority population increases

摘要

根据卫生系统变革研究中心(HSC)的一项新的全国性研究,虽然近一半的美国医生认为语言或文化沟通障碍是提供高质量医疗服务的障碍,但医生采用克服此类障碍做法的情况并不普遍且参差不齐。尽管医学界就医生如何帮助解决并最终减少种族和族裔差异已达成广泛共识,但医生采用多种推荐做法来改善对少数族裔患者的医疗服务的比例各不相同,从7%的医生表示有能力追踪患者的首选语言,到40%的医生表示接受过少数族裔健康问题培训,再到略多于一半的医生表示其诊所提供一些口译服务。随着美国人口持续多样化且少数族裔人口增加,医生在为所有患者提供优质医疗服务时面临的挑战将不断增加。

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