Department of Anthropology, Brigham Young University, 800 KMBL, Provo, UT 84602, USA.
Int J Environ Res Public Health. 2022 Aug 26;19(17):10663. doi: 10.3390/ijerph191710663.
Following up on previous research demonstrating the high level of care realized by a paternalistic Mexican physician, the present research further explored the hypothesis that there are cultural differences in preferences for and experiences with physician paternalism vs. patient autonomy in White American culture as compared with Mexican culture. In this research, we interviewed sixty (60) people including twenty (20) Mexican, twenty (20) Mexican American, and twenty (20) White American respondents. We asked these patients about their experiences with and attitudes towards paternalism and patient autonomy in healthcare interactions. With some caveats, our data showed strong support for both hypotheses while also suggesting a high level of care can be realized by paternalistic physicians when "paternalism" is understood in a cultural context. We close with a brief consideration of the implications of these findings.
继先前的研究证明了一位家长式作风的墨西哥医生所能实现的高水平医疗护理之后，本研究进一步探讨了一个假设，即在白种美国人文化中，与墨西哥文化相比，对于医生家长式作风与患者自主性的偏好和体验存在文化差异。在这项研究中，我们采访了六十（60）人，包括二十（20）名墨西哥人、二十（20）名墨西哥裔美国人以及二十（20）名白种美国人。我们询问了这些患者在医疗保健互动中对家长式作风和患者自主性的体验和态度。有一些警告，但我们的数据强烈支持这两个假设，同时也表明，当“家长式作风”在文化背景下被理解时，家长式作风的医生也能实现高水平的护理。我们最后简要考虑了这些发现的影响。
