Otte Sonia V
Independent Scholar.
J Patient Exp. 2022 May 29;9:23743735221103033. doi: 10.1177/23743735221103033. eCollection 2022.
Health disparities remain ubiquitous in the United States despite initiatives by the federal government and other organizations. A long-term solution for health inequity is needed in order to help improve patient outcomes for all. The purpose of this review is to examine if racial, gender, or multifactorial concordance (eg, race, age, gender, education, language) between patient and provider leads to a better patient experience and improved health outcomes. A PubMed search for articles published between 2016 and 2021 resulted in 23 separate studies that met inclusion criteria. The results from these studies were inconclusive in determining an association between patient-provider concordance and patient outcomes. Further research is needed to evaluate the positive, neutral, and sometimes negative impact of patient-provider concordance. By diversifying healthcare professions and improving cultural competency and communication training programs, providers may be better prepared to care for diverse populations in both concordant and discordant patient relationships.
尽管联邦政府和其他组织采取了多项举措，但美国的健康差异现象仍然普遍存在。为了帮助改善所有人的患者治疗效果，需要找到解决健康不平等问题的长期办法。本综述的目的是研究患者与医疗服务提供者之间的种族、性别或多因素一致性（如种族、年龄、性别、教育程度、语言）是否能带来更好的患者体验和改善健康结果。对2016年至2021年期间发表的文章进行PubMed检索，得到了23项符合纳入标准的独立研究。这些研究结果在确定患者与医疗服务提供者一致性和患者治疗效果之间的关联方面尚无定论。需要进一步研究来评估患者与医疗服务提供者一致性的积极、中性以及有时消极的影响。通过使医疗行业多元化并改进文化能力和沟通培训项目，医疗服务提供者可能会更好地准备好照顾不同患者群体，无论是在患者与医疗服务提供者一致还是不一致的关系中。
