Snyder Cyndy R, Truitt Anjali R
Department of Family Medicine, University of Washington, Seattle, WA, USA.
J Patient Exp. 2020 Aug;7(4):479-483. doi: 10.1177/2374373519851694. Epub 2019 May 27.
Patient-provider race concordance has been argued as one way to improve patient-provider communication, patient satisfaction, and even patient outcomes. However, much of this literature focuses on or assumes that both patients and providers identify with only one race.
The purpose of this study was to understand multiracial patients' preferences in choosing a health-care provider.
We conducted 15 interviews and 3 focus groups. We performed a directed content analysis to understand participants' expressed preferences.
Thirty-one participants shared their health-care preferences. Participants described proximity to their homes or work, convenience in terms of availability, and health insurance coverage as reasons for selecting a provider. The majority articulated preferences related to provider gender and race. However, participants noted key barriers to receiving care from their preferred providers.
This study highlights the preferences for health-care providers and the factors influencing those preferences and decisions among multiracial individuals. Findings illustrate the need to increase health workforce diversity, especially among primary care providers. Findings also show the need for increased empathy and cultural sensitivity among health-care professionals.
患者与医疗服务提供者种族一致被认为是改善患者与医疗服务提供者沟通、患者满意度乃至患者治疗效果的一种方式。然而，这类文献大多聚焦于或假定患者和医疗服务提供者都只认同一种种族。
本研究的目的是了解多种族患者在选择医疗服务提供者时的偏好。
我们进行了15次访谈和3次焦点小组讨论。我们进行了定向内容分析，以了解参与者表达的偏好。
31名参与者分享了他们的医疗保健偏好。参与者将距离家庭或工作地点近、就医便利性以及医疗保险覆盖范围作为选择医疗服务提供者的理由。大多数人明确表达了与医疗服务提供者性别和种族相关的偏好。然而，参与者指出了从他们首选的医疗服务提供者那里获得治疗的关键障碍。
本研究突出了多种族个体对医疗服务提供者的偏好以及影响这些偏好和决策的因素。研究结果表明有必要增加卫生人力的多样性，尤其是在初级保健提供者中。研究结果还表明医疗保健专业人员需要增强同理心和文化敏感性。
