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美国穆斯林医疗决策中涉及的信任类型:一项探索性定性研究。

The Types of Trust Involved in American Muslim Healthcare Decisions: An Exploratory Qualitative Study.

作者信息

Padela Aasim I, Pruitt Liese, Mallick Saleha

机构信息

Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, 5841 S. Maryland Ave, MC 5068, Chicago, IL, 60637, USA.

Section of Emergency Medicine, Department of Medicine, The University of Chicago, Chicago, IL, USA.

出版信息

J Relig Health. 2017 Aug;56(4):1478-1488. doi: 10.1007/s10943-017-0387-z.

Abstract

Trust in physicians and the healthcare system underlies some disparities noted among minority populations, yet a descriptive typology of different types of trust informing healthcare decisions among minority populations is limited. Using data from 13 focus groups with 102 American Muslims, we identified the types and influence of trust in healthcare decision-making. Participants conveyed four types of trust implicating their health-seeking behaviors-(I) trust in allopathic medicine, (II) trust in God, (III) trust in personal relationships, and (IV) trust in self. Healthcare disparity research can benefit from assessing how these types of trust are associated with health outcomes among minority populations so as to inform intervention programs that seek to enhance trust as a means to improve community health.

摘要

对医生和医疗保健系统的信任是少数族裔人群中存在的一些差异的根源,然而,关于不同类型的信任如何影响少数族裔人群医疗保健决策的描述性类型学却很有限。利用来自13个焦点小组、共102名美国穆斯林的数据,我们确定了信任在医疗保健决策中的类型和影响。参与者表达了四种与他们的求医行为相关的信任类型——(一)对现代医学的信任,(二)对上帝的信任,(三)对人际关系的信任,以及(四)对自我的信任。医疗保健差异研究可以通过评估这些信任类型如何与少数族裔人群的健康结果相关联而受益,以便为旨在增强信任以改善社区健康的干预项目提供信息。

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