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患者对医疗服务提供者人际敏感性的感知:患者-提供者种族/民族一致性的潜在作用。

Patients' perceptions of the interpersonal sensitivity of their healthcare providers: the potential role of patient-provider racial/ethnic concordance.

机构信息

Program on Aging and Care, Scott and White Memorial Hospital, Temple, TX, USA.

出版信息

Patient. 2012;5(3):175-83. doi: 10.2165/11594920-000000000-00000.

Abstract

BACKGROUND

Preliminary studies have revealed an association between cultural competence and an improvement in the quality of healthcare services, increased patient satisfaction, and increased effectiveness of services.

OBJECTIVE

This study examined factors that helped to explain patients' perceptions of their providers' interpersonal sensitivity - one component of cultural competence.

METHODS AND PARTICIPANTS

The respondents were 2075 racially/ethnically diverse adults, aged 50 years and older, who responded to a national telephone survey.

RESULTS

Results indicate that one of the main factors predicting interpersonal sensitivity is self-rated physical health: those who reported better health were more likely to see their provider as exhibiting higher levels of sensitivity. This was true for Hispanic/Latino patients. The results also suggest that having a provider of the same race/ethnicity was a significant factor only for Hispanic/Latino patients.

CONCLUSION

Despite findings from previous research, racial/ethnic concordance may not be universally effective in improving interpersonal sensitivity in healthcare settings for all racial/ethnic groups.

摘要

背景

初步研究表明,文化能力与提高医疗服务质量、增加患者满意度和提高服务效果之间存在关联。

目的

本研究旨在探讨有助于解释患者对其提供者人际敏感性(文化能力的一个组成部分)的感知的因素。

方法和参与者

调查对象为 2075 名年龄在 50 岁及以上的不同种族/族裔的成年人,他们对一项全国性电话调查做出了回应。

结果

结果表明,预测人际敏感性的主要因素之一是自我评估的身体健康状况:那些报告健康状况较好的人更有可能认为他们的提供者表现出更高水平的敏感性。这对西班牙裔/拉丁裔患者来说是正确的。结果还表明,对于西班牙裔/拉丁裔患者来说,拥有相同种族/族裔的提供者是一个重要因素。

结论

尽管先前的研究有发现,但在所有种族/族裔群体中,种族/族裔一致性在改善医疗环境中的人际敏感性方面可能并非普遍有效。

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