How Socioeconomic Status Affects Patient Perceptions of Health Care: A Qualitative Study
How Socioeconomic Status Affects Patient Perceptions of Health Care: A Qualitative Study
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DOI：
10.1177/2150131917697439
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发表时间：
2017-07-01
影响因子：
3.6
通讯作者：
Rosenbaum, Marcy E.
中科院分区：
文献类型：
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作者：
Arpey, Nicholas C.;Gaglioti, Anne H.;Rosenbaum, Marcy E.
简介：临床医生对低社会经济地位（SES）患者的看法已被证明会影响这一群体的临床决策和医疗服务。然而，目前尚不清楚低SES患者如何以及是否认为临床医生的偏见可能会影响他们的医疗保健。方法：在一个国家的医疗补助计划的80名注册者进行了深入的访谈进行了分析，以确定经常性的主题，在他们的护理观念。结果：大多数受试者认为，他们的SES影响他们的医疗保健。共同的主题包括提供的治疗，获得护理，和病人-提供者的互动。讨论：这项研究强调了患者对SES如何影响他们的医疗保健的复杂看法。这些结果提供了机会，通过更好地了解他们对个人的患者-提供者的关系的影响，以减少医疗保健的差距。这项工作可以通过多方面的方法为促进卫生公平的干预措施提供信息，该方法针对提供者和整个卫生保健系统。
Introduction: Clinician perceptions of patients with low socioeconomic status (SES) have been shown to affect clinical decision making and health care delivery in this group. However, it is unknown how and if low SES patients perceive clinician bias might affect their health care. Methods: In-depth interviews with 80 enrollees in a state Medicaid program were analyzed to identify recurrent themes in their perceptions of care. Results: Most subjects perceived that their SES affected their health care. Common themes included treatment provided, access to care, and patient-provider interaction. Discussion: This study highlights complex perceptions patients have around how SES affects their health care. These results offer opportunities to reduce health care disparities through better understanding of their impact on the individual patient-provider relationship. This work may inform interventions that promote health equity via a multifaceted approach, which targets both providers and the health care system as a whole.