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西班牙裔种族对家长与医疗服务提供者之间关于哮喘的沟通的影响。

The influence of Hispanic ethnicity on parent-provider communication about asthma.

作者信息

Carlin Courtney, Yee Alison B, Fagnano Maria, Halterman Jill S

机构信息

1University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

出版信息

Clin Pediatr (Phila). 2014 Apr;53(4):380-6. doi: 10.1177/0009922813510598. Epub 2013 Nov 26.

Abstract

Research has shown that minority caregivers of children with asthma report poorer communication with health care providers than nonminority caregivers. Less is known about the specific influence of Hispanic ethnicity on parent-provider communication. Our objective was to evaluate the influence of Hispanic ethnicity on parent-provider communication regarding their child's asthma and on caregiver confidence in communicating with their child's provider at a primary care visit. Data were obtained from 166 caregivers of children (2-12 years) with persistent asthma. Caregiver perceptions of provider communication and confidence were evaluated. We found that Hispanic compared to non-Hispanic caregivers reported better communication with providers on several items. Hispanic caregivers also were more likely to indicate full confidence in their ability to communicate with providers. These findings suggest Hispanic caregivers may experience better parent-provider communication than non-Hispanics. Further investigation is needed to assess provider- and clinic-specific factors that may influence communication between minority caregivers and providers.

摘要

研究表明,与非少数族裔照顾者相比,患有哮喘儿童的少数族裔照顾者报告称与医疗服务提供者的沟通较差。关于西班牙裔种族对家长与医疗服务提供者沟通的具体影响,我们所知较少。我们的目标是评估西班牙裔种族对家长与医疗服务提供者就其孩子哮喘问题进行沟通的影响,以及在初级保健就诊时照顾者与孩子的医疗服务提供者沟通的信心。数据来自166名患有持续性哮喘儿童(2至12岁)的照顾者。评估了照顾者对医疗服务提供者沟通的看法和信心。我们发现,与非西班牙裔照顾者相比,西班牙裔照顾者在几个项目上报告称与医疗服务提供者的沟通更好。西班牙裔照顾者也更有可能表示对自己与医疗服务提供者沟通的能力充满信心。这些发现表明,西班牙裔照顾者与医疗服务提供者之间的沟通可能比非西班牙裔更好。需要进一步调查以评估可能影响少数族裔照顾者与医疗服务提供者之间沟通的医疗服务提供者和诊所特定因素。

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Addressing asthma health disparities: a multilevel challenge.应对哮喘健康差异:一项多层次挑战。
J Allergy Clin Immunol. 2009 Jun;123(6):1209-17; quiz 1218-9. doi: 10.1016/j.jaci.2009.02.043. Epub 2009 May 17.

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