Department of Psychology.
Health Psychol. 2011 May;30(3):342-50. doi: 10.1037/a0022967.
This article presents the results of an empirical test of a literature-based Patient-Centered Culturally Sensitive Health Care Model. The model was developed to explain and improve health care for ethnically diverse patients seen in community-based primary care clinics.
Samples of predominantly low-income African American (n = 110) and non-Hispanic White American (n = 119) patients were recruited to complete questionnaires about their perceived health care provider cultural sensitivity and adherence to their provider's treatment regimen recommendations.
Patients completed written measures of their perceived provider cultural sensitivity, trust in provider, interpersonal control, satisfaction with their health care provider, physical stress, and adherence to provider-recommended treatment regimen variables (i.e., engagement in a health promoting lifestyle, and dietary and medication adherence).
Two-group path analyses revealed significant links between patient-perceived provider cultural sensitivity and adherence to provider treatment regimen recommendations, with some differences in associations emerging by race/ethnicity.
The findings provide empirical support for the potential usefulness of the Patient-Centered Culturally Sensitive Health Care Model for explaining the linkage between the provision of patient-centered, culturally sensitive health care, and the health behaviors and outcomes of patients who experience such care.
本文介绍了基于文献的以患者为中心的文化敏感型医疗保健模式的实证检验结果。该模型旨在解释和改善在社区基层医疗机构中为不同种族的患者提供的医疗服务。
招募了主要为低收入非裔美国（n=110）和非西班牙裔白种美国（n=119）患者的样本，让他们完成有关其感知医疗保健提供者文化敏感性和遵守其提供者治疗方案建议的问卷。
患者完成了关于其感知提供者文化敏感性、对提供者的信任、人际控制、对医疗服务提供者的满意度、身体压力以及对提供者推荐的治疗方案变量（即参与促进健康的生活方式、饮食和药物依从性）的书面测量。
两组路径分析显示，患者感知提供者文化敏感性与遵守提供者治疗方案建议之间存在显著关联，种族/族裔差异会影响这种关联。
这些发现为以患者为中心的文化敏感型医疗保健模式在解释以患者为中心、文化敏感型医疗保健与经历这种医疗保健的患者的健康行为和结果之间的联系方面的潜在有效性提供了实证支持。
