Sewell Alyasah Ali
Emory University, United States; University of Pennsylvania, United States.
Soc Sci Res. 2015 Nov;54:1-20. doi: 10.1016/j.ssresearch.2015.06.020. Epub 2015 Jun 27.
Past research yields mixed evidence regarding whether ethnoracial minorities trust physicians less than Whites. Using the 2002 and 2006 General Social Surveys, variegated ethnoracial differences in trust in physicians are identified by disaggregating a multidimensional physician trust scale. Compared to Whites, Blacks are less likely to trust the technical judgment and interpersonal competence of doctors. Latinos are less likely than Whites to trust the fiduciary ethic, technical judgment, and interpersonal competence of doctors. Black-Latino differences in physician trust are a function of ethnoracial differences in parental nativity. The ways ethnoracial hierarchies are inscribed into power-imbalanced clinical exchanges are discussed.
过去的研究在少数族裔是否比白人更不信任医生这一问题上得出了复杂的证据。利用2002年和2006年的综合社会调查，通过对多维医生信任量表进行分解，确定了不同族裔在对医生的信任方面存在的差异。与白人相比，黑人不太可能信任医生的技术判断和人际沟通能力。拉丁裔比白人更不太可能信任医生的信托伦理、技术判断和人际沟通能力。黑人和拉丁裔在对医生的信任上的差异是父母出生地的族裔差异的一个函数。文中还讨论了族裔等级制度如何被铭刻在权力不平衡的临床交流中的方式。
