Department of Communication Studies, University of Alabama, Tuscaloosa, Alabama, USA.
Department of Communication, University at Albany, State University of New York, Albany, New York, USA.
J Health Commun. 2019;24(9):719-727. doi: 10.1080/10810730.2019.1666197. Epub 2019 Sep 12.
As student populations become more diverse, understanding university health center (UHC) providers' cultural competence is important for providing students with quality care. Student satisfaction with UHC provider care is influenced by a number of factors, including interpersonal communication between patients and providers. The emphasis on culture, however, suggests that providers' cultural competence should also be an important factor. Guided by communication accommodation theory, this study examined the relationships between patients' willingness to communicate with providers, communication apprehension with providers, and perceptions of providers' cultural competence and if they predicted patient satisfaction with UHC care. Results suggest that willingness to communicate, communication apprehension, and some elements of perceived provider cultural competence were significantly related. Willingness to communicate, communication apprehension, and patient-centeredness were predictors of patient satisfaction. These findings have implications for how UHCs can focus on culturally competent care while meeting the healthcare needs of students.
随着学生群体的多样化，了解大学健康中心 (UHC) 提供者的文化能力对于为学生提供高质量的护理至关重要。学生对 UHC 提供者护理的满意度受到许多因素的影响，包括患者与提供者之间的人际沟通。然而，对文化的重视表明，提供者的文化能力也应该是一个重要因素。本研究以沟通适应理论为指导，探讨了患者与提供者沟通的意愿、与提供者沟通的焦虑感，以及对提供者文化能力的感知之间的关系，以及它们是否预测了患者对 UHC 护理的满意度。结果表明，沟通意愿、沟通焦虑感以及感知到的提供者文化能力的某些要素之间存在显著的相关性。沟通意愿、沟通焦虑感和以患者为中心是患者满意度的预测因素。这些发现对 UHC 如何在满足学生医疗需求的同时关注文化能力护理具有启示意义。
