Primary care resident perceived preparedness to deliver cross-cultural care: An examination of training and specialty differences
Primary care resident perceived preparedness to deliver cross-cultural care: An examination of training and specialty differences
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DOI：
10.1007/s11606-007-0229-x
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发表时间：
2007-08-01
影响因子：
5.7
通讯作者：
Weissman, Joel S.
中科院分区：
文献类型：
--
作者：
Greer, Joseph A.;Park, Elyse R.;Weissman, Joel S.
目的：以前的研究表明，住院医师报告的差异，在培训的初级保健专业，虽然有限的数据存在教育提供跨文化的护理。本研究的目的是确定与初级保健居民的感知准备提供跨文化的护理，并探讨在何种程度上这些看法不同的初级保健specials.Design：横断面，国家的住院医师在他们的最后一年的培训邮件调查的因素。1150名初级保健住院医师专门从事家庭医学（27%）、内科（23%）、儿科（26%）和产科/妇科（OB/GYN）（24%）。男性住院医师以及那些报告从美国医学院毕业，获得榜样，以及在住院期间更大的跨文化病例组合的人更愿意提供跨文化护理。调整这些人口统计学和临床因素，家庭医生的居民显着更有可能感到准备提供跨文化的护理相比，内科，儿科和OB/GYN居民。然而，当居民报告收到的指令数量提供跨文化护理被添加为预测因子，专业差异变得不显着，这表明培训机会更好地解释感知准备比specials.Conclusions的变化：在初级保健专业，居民报告不同的看法准备提供跨文化护理。然而，这种变化更强烈地与培训因素有关，例如医生接受的提供此类护理的指导量，而不是专业隶属关系。这些研究结果强调了正规教育的重要性，以提高居民的准备，提供跨文化的照顾。
Objective: Previous research has shown that resident physicians report differences in training across primary care specialties, although limited data exist on education in delivering cross-cultural care. The goals of this study were to identify factors that relate to primary care residents' perceived preparedness to provide cross-cultural care and to explore the extent to which these perceptions vary across primary care specialties.Design: Cross-sectional, national mail survey of resident physicians in their last year of training.Participants: Eleven hundred fifty primary care residents specializing in family medicine (27%), internal medicine (23%), pediatrics (26%), and obstetrics/gynecology (OB/GYN) (24%).Results: Male residents as well as those who reported having graduated from U.S. medical schools, access to role models, and a greater cross-cultural case mix during residency felt more prepared to deliver cross-cultural care. Adjusting for these demographic and clinical factors, family practice residents were significantly more likely to feel prepared to deliver cross-cultural care compared to internal medicine, pediatric, and OB/GYN residents. Yet, when the quantity of instruction residents reported receiving to deliver cross-cultural care was added as a predictor, specialty differences became nonsignificant, suggesting that training opportunities better account for the variability in perceived preparedness than specialty.Conclusions: Across primary care specialties, residents reported different perceptions of preparedness to deliver cross-cultural care. However, this variation was more strongly related to training factors, such as the amount of instruction physicians received to deliver such care, rather than specialty affiliation. These findings underscore the importance of formal education to enhance residents' preparedness to provide cross-cultural care.