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患者对全科医生的选择:患者英语流利程度以及医生种族和性别的影响。

Patients' choice of general practitioner: influence of patients' fluency in English and the ethnicity and sex of the doctor.

作者信息

Ahmad W I, Kernohan E E, Baker M R

出版信息

J R Coll Gen Pract. 1989 Apr;39(321):153-5.

PMID:2559991
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1711818/
Abstract

Asian patients' use of general practitioner services and, in particular, their interaction with doctors is not well researched. However, difficulty in communication and in the case of women, reluctance to be examined by a male doctor has been reported. This study, based on interviews with 241 Caucasian, Pakistani and Indian patients attending a general practice in Bradford, examined the relationship between choice of general practitioner and the patient's fluency in English and the general practitioner's ethnicity and sex. Both Pakistani and Indian patients, particularly women, had poor fluency in English and the use of interpreters was confined to women (11% of Pakistani women and 4% of Indian women). The linguistic and broad cultural concordance between the patient and the general practitioner was more important in the choice of doctor than the sex of the general practitioner. It was also found that while 62% of Pakistani women objected to being examined by a male doctor, this was true for only 21% of Indian women.

摘要

亚洲患者对全科医生服务的使用情况,尤其是他们与医生的互动,尚未得到充分研究。然而,据报道,存在沟通困难的问题,对于女性患者来说,她们不愿让男医生进行检查。这项研究基于对布拉德福德一家全科诊所的241名白种人、巴基斯坦人和印度患者的访谈,调查了患者选择全科医生与患者英语流利程度、全科医生的种族和性别之间的关系。巴基斯坦和印度患者,尤其是女性,英语流利程度较差,使用口译员的情况仅限于女性(11%的巴基斯坦女性和4%的印度女性)。患者与全科医生之间的语言和广泛文化一致性在选择医生时比全科医生的性别更为重要。研究还发现,虽然62%的巴基斯坦女性反对由男医生进行检查,但只有21%的印度女性有此顾虑。

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Patients' choice of general practitioner: influence of patients' fluency in English and the ethnicity and sex of the doctor.患者对全科医生的选择:患者英语流利程度以及医生种族和性别的影响。
J R Coll Gen Pract. 1989 Apr;39(321):153-5.
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本文引用的文献

1
Language and communication problems in an Asian community.一个亚洲社区中的语言和沟通问题。
J R Coll Gen Pract. 1983 Feb;33(247):101-4.
2
Ethnicity and health: a research review.种族与健康:一项研究综述。
Soc Sci Med. 1984;19(7):663-70. doi: 10.1016/0277-9536(84)90237-5.
3
Attitudes of Asian patients in Birmingham to general practitioner services.伯明翰亚洲患者对全科医生服务的态度。
J R Coll Gen Pract. 1985 Sep;35(278):416-8.
4
The bilingual consultation.双语咨询。
Lancet. 1988 Feb 13;1(8581):347. doi: 10.1016/s0140-6736(88)91133-6.
5
Overcoming language difficulties with migrant patients.克服与移民患者的语言障碍。
Med J Aust. 1979 Apr 7;1(7):275-6. doi: 10.5694/j.1326-5377.1979.tb112081.x.