J Aging Health. 2012 Oct;24(7):1079-90. doi: 10.1177/0898264312453068. Epub 2012 Aug 6.
This study examined how patients' satisfaction with their care is affected by racial/ethnic concordance and patients' perceived interpersonal sensitivity of their providers. The sample consisted of non-Hispanic Whites, African Americans/Blacks, Hispanics/Latinos, and Asian Americans age 50 and older.
Data came from the population-based Commonwealth Fund 2001 Health Care Quality Survey (n=2,075). A hierarchical regression model of satisfaction was estimated for each racial/ethnic group with a sequential entry of variables: demographic and health-related variables, racial/ethnic concordance between patient and provider, and interpersonal sensitivity.
The influence of patient-provider racial/ethnic concordance on satisfaction with care was negligible, but the influence of interpersonal sensitivity was substantial (p<.001) in all racial/ethnic groups.
Findings suggest that racial/ethnic concordance may not be universally effective for diverse older populations, but perceived interpersonal sensitivity of the provider has a strong influence on older adults' satisfaction with care regardless of their racial/ethnic background.
本研究考察了患者对护理的满意度如何受到种族/民族一致性以及患者对其提供者的人际敏感性的影响。样本包括年龄在 50 岁及以上的非西班牙裔白人、非裔美国人/黑人、西班牙裔/拉丁裔和亚裔美国人。
数据来自基于人群的联邦基金 2001 年医疗保健质量调查（n=2075）。使用分层回归模型，为每个种族/民族群体分别估计满意度模型，变量依次输入：人口统计学和健康相关变量、患者与提供者之间的种族/民族一致性以及人际敏感性。
患者与提供者之间的种族/民族一致性对护理满意度的影响可以忽略不计，但人际敏感性的影响在所有种族/民族群体中都很大（p<.001）。
研究结果表明，种族/民族一致性对于不同的老年人群体可能并非普遍有效，但提供者的人际敏感性对老年人对护理的满意度有很大影响，无论其种族/民族背景如何。
