年龄和多种疾病在塑造老年非裔美国男性患者与医疗服务提供者沟通经历中的作用。
The Role of Age and Multimorbidity in Shaping Older African American Men's Experiences with Patient⁻Provider Communication.
作者信息
Perry Ramona G, Mitchell Jamie A, Hawkins Jaclynn, Johnson-Lawrence Vicki
机构信息
School of Social Work, University of Michigan School of Social Work, Ann Arbor, MI 48103, USA.
College of Human Medicine, Michigan State University, Flint, MI 48502, USA.
出版信息
Geriatrics (Basel). 2018 Oct 24;3(4):74. doi: 10.3390/geriatrics3040074.
This study investigated factors associated with older African American men's unmet health communication needs in the context of patient-provider interactions. Responses to a health survey were analyzed for 430 African American men attending a Midwest community health fair. The outcome measure was the extent to which men could get their health-related questions answered during recent medical visits. Men's mean age was 54; 39% had one chronic condition and 22% had two or more comorbidities. The 53% who usually or always had their questions answered were older, had less comorbidity, higher educational attainment, higher annual incomes, were more likely to be married and have any type of insurance, and have a personal physician. Access to care was the primary factor in shaping men's opportunities to ask health-related questions, and older multimorbid and low-income African American men may face increased barriers to healthcare access, and thus barriers to patient-centered care and communication.
本研究调查了在医患互动背景下，与年长非裔美国男性未满足的健康沟通需求相关的因素。对参加中西部社区健康博览会的430名非裔美国男性的健康调查回复进行了分析。结果指标是男性在近期就诊期间其与健康相关问题得到解答的程度。男性的平均年龄为54岁；39%患有1种慢性病，22%患有2种或更多种合并症。那些通常或总是能得到问题答案的人占53%，他们年龄较大、合并症较少、受教育程度较高、年收入较高、更有可能已婚且拥有任何类型的保险，并有私人医生。获得医疗服务的机会是影响男性提出与健康相关问题的主要因素，而年长的患有多种疾病且低收入的非裔美国男性可能面临更多获得医疗服务的障碍，从而面临以患者为中心的护理和沟通障碍。
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