Davis Jenna L, Bynum Shalanda A, Katz Ralph V, Buchanan Kyrel, Green B Lee
Department of Health Outcomes and Behavior at Moffitt Cancer Center, Tampa, FL, USA.
J Health Care Poor Underserved. 2012 Nov;23(4 Suppl):67-76. doi: 10.1353/hpu.2012.0148.
Effective provider-patient relationships are vital for positive patient health outcomes. This analysis assessed sociodemographic differences in fears and mistrust related to the provider-patient relationship, which may contribute to unwillingness to participate in cancer screenings (CSs). The data are from a stratified, random-digit dial telephone questionnaire of non-institutionalized households in New York, Maryland, and Puerto Rico. Statistically significant results indicate that Hispanics, compared with Whites, were nearly two times more likely to report that fear of being a "guinea pig" and lacking trust in medical people would make them unwilling to participate in CSs. Additionally, those with less education were over two times more likely to indicate a fear of being embarrassed during the screening would make them unwilling to participate in CSs. These results highlight areas where health professionals can improve interactions with their patients and be attentive to their fears and/or mistrusts to promote CSs utilization.
有效的医患关系对于患者良好的健康结果至关重要。本分析评估了与医患关系相关的恐惧和不信任方面的社会人口学差异，这些差异可能导致患者不愿参与癌症筛查（CS）。数据来自对纽约、马里兰州和波多黎各非机构化家庭的分层随机数字拨号电话问卷调查。具有统计学意义的结果表明，与白人相比，西班牙裔报告称担心成为“小白鼠”以及对医务人员缺乏信任会使他们不愿参与癌症筛查的可能性几乎高出两倍。此外，受教育程度较低的人表示担心在筛查过程中感到尴尬会使他们不愿参与癌症筛查的可能性高出两倍多。这些结果突出了医疗专业人员可以改善与患者互动并关注他们的恐惧和/或不信任以促进癌症筛查利用的领域。
