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医疗保健满意度中的种族/民族差异:文化适应的作用。

Racial/ethnic variation in health care satisfaction: The role of acculturation.

作者信息

Han Woojae, Lee Sungkyu

机构信息

a Department of Social Work , Binghamton University , Binghamton , New York , USA.

b School of Social Welfare , Soongsil University , Seoul , South Korea.

出版信息

Soc Work Health Care. 2016 Oct;55(9):694-710. doi: 10.1080/00981389.2016.1191580. Epub 2016 Jun 28.

Abstract

This study examined the role of acculturation and racial/ethnic variation in health care satisfaction among four different racial/ethnic groups. The study sample consisted of 41,560 adults from the 2011 California Health Interview Survey. Health care satisfaction was measured via two questions regarding doctors' listening and explanations. Guided by Andersen's behavioral model of health care use, multivariate logistic regressions were conducted. Hispanic and Asian respondents showed the lowest levels of satisfaction with their doctors' listening and explanations, respectively. Acculturation was found to be a significant predictor of health care satisfaction. Health care professionals should develop ways of expanding culturally competent health care professionals, who are aware of racial/ethnic variation in health care satisfaction.

摘要

本研究考察了文化适应以及四个不同种族/族裔群体在医疗保健满意度方面的种族/族裔差异所起的作用。研究样本包括来自2011年加利福尼亚健康访谈调查的41560名成年人。医疗保健满意度通过关于医生倾听和解释的两个问题来衡量。在安德森医疗保健使用行为模型的指导下,进行了多变量逻辑回归分析。西班牙裔和亚裔受访者对医生的倾听和解释的满意度分别最低。文化适应被发现是医疗保健满意度的一个重要预测因素。医疗保健专业人员应设法增加具有文化能力的医疗保健专业人员,这些人员要意识到医疗保健满意度方面的种族/族裔差异。

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