Tucker Carolyn M, Moradi Bonnie, Wall Whitney, Nghiem Khanh
Department of Psychology, University of Florida, P.O. Box 112250, Gainesville, FL, 32610-0165, USA.
J Clin Psychol Med Settings. 2014 Sep;21(3):282-90. doi: 10.1007/s10880-014-9397-0.
The present study tests a refined first component of the Patient-Centered Culturally Sensitive Health Care (PC-CSHC) Model-the evidence supported component that links perceived provider cultural sensitivity to patient satisfaction with provider care and identifies trust of provider as the mediator of this linkage. The refined first component of the PC-CSHC Model tested in the present study is novel in that it includes the three dimensions of provider cultural sensitivity and includes perceived provider impartiality (fairness), a core aspect of perceived health care justice, as a mediator in addition to trust of provider (the other core aspect of perceived health care justice). Study participants were 298 African American/Black primary care clinic patients with low household incomes. Mediation analyses revealed that the three dimensions of patients' perceived provider cultural sensitivity were significant predictors of the participating patients' reported satisfaction with their provider, and that some of these predictive relationships were partially mediated by (1) patients' perceived provider impartiality (fairness), and (2) patients' trust of their provider. Implications of these findings for providers' interactions with patients, development of the PC-CSHC Model, and the roles of psychologists in facilitating patient-provider interactions are discussed.
本研究对以患者为中心的文化敏感型医疗保健（PC-CSHC）模型的一个细化的首要组成部分进行了测试，该组成部分有证据支持，它将感知到的医疗服务提供者的文化敏感性与患者对医疗服务提供者护理的满意度联系起来，并确定对医疗服务提供者的信任是这种联系的中介。本研究中测试的PC-CSHC模型的细化首要组成部分具有新颖性，因为它包括医疗服务提供者文化敏感性的三个维度，并且除了对医疗服务提供者的信任（感知到的医疗保健公正的另一个核心方面）之外，还将感知到的医疗服务提供者公正性（公平性）（感知到的医疗保健公正的一个核心方面）作为中介。研究参与者为298名低收入非裔美国/黑人初级保健诊所患者。中介分析表明，患者感知到的医疗服务提供者文化敏感性的三个维度是参与研究的患者报告的对其医疗服务提供者满意度的重要预测因素，并且其中一些预测关系部分由（1）患者感知到的医疗服务提供者公正性（公平性）和（2）患者对其医疗服务提供者的信任所介导。讨论了这些发现对医疗服务提供者与患者互动、PC-CSHC模型的发展以及心理学家在促进患者与医疗服务提供者互动中的作用的影响。
