Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, USA.
Department of Population Health, NYU Grossman School of Medicine, NYU Langone Health, USA.
Patient Educ Couns. 2024 Feb;119:108054. doi: 10.1016/j.pec.2023.108054. Epub 2023 Nov 4.
To simultaneously explore associations between digital health, sociodemographic factors, and medical conditions on patient-centered communication (PCC). These are under-explored, yet important knowledge gaps to fill because perceived quality PCC may influence health information seeking behaviors and health outcomes.
Data from the 2019 Health Information National Trends Survey were analyzed. The primary outcome was PCC, which was the summed score of 7 PCC-related questions. Factors of interest included whether participants used electronic methods to communicate with health professionals, age, gender, race/ethnicity, education, feelings about household income, and history of medical conditions. Descriptive statistics and linear regressions were conducted.
In the multivariate linear regression model, people aged 65-74 years compared with 18-34 year-olds, those with some college compared with college graduates, and those who felt they were living comfortably on their household income compared with all others reported higher PCC scores. People with a history of hypertension compared with those without reported higher PCC scores.
Similar to past studies, sociodemographic factors were associated with PCC. A novel finding was that a history hypertension was associated with perceived quality of PCC.
This research may inform methods to enhance communication between patients and clinicians.
同时探讨数字健康、社会人口因素和医疗状况对以患者为中心的沟通（PCC）的关联。这些是探索不足但很重要的知识空白，因为感知到的高质量 PCC 可能会影响健康信息搜索行为和健康结果。
对 2019 年健康信息国家趋势调查的数据进行了分析。主要结果是 PCC，即 7 个与 PCC 相关问题的总和得分。感兴趣的因素包括参与者是否使用电子方式与医疗保健专业人员沟通、年龄、性别、种族/民族、教育程度、对家庭收入的感受以及医疗状况史。进行了描述性统计和线性回归分析。
在多变量线性回归模型中，与 18-34 岁相比，65-74 岁的人群、与大学毕业相比，具有一些大学学历的人群、与其他所有人相比，感觉自己舒适地依靠家庭收入生活的人群报告了更高的 PCC 分数。与没有高血压病史的人相比，有高血压病史的人报告了更高的 PCC 分数。
与过去的研究相似，社会人口因素与 PCC 相关。一个新的发现是，高血压病史与感知到的 PCC 质量有关。
这项研究可以为增强患者和临床医生之间的沟通方法提供信息。
