Patient-physician relationships and racial disparities in the quality of health care
Patient-physician relationships and racial disparities in the quality of health care
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DOI：
10.2105/ajph.93.10.1713
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发表时间：
2003-10-01
影响因子：
12.7
通讯作者：
Cooper, LA
中科院分区：
文献类型：
--
作者：
Saha, S;Arbelaez, JJ;Cooper, LA
目标.本研究探讨了医患关系中的种族差异是否会导致医疗质量的差异。我们分析了联邦基金2001年卫生保健质量调查的数据，以确定患者对卫生保健和使用基本卫生服务的满意度的种族差异是否可以通过患者与医生互动的质量、医生的文化敏感性或患者与医生的种族一致性的差异来解释。结果西班牙裔和亚裔对卫生服务的满意度和使用率都低于黑人和白人。患者与医生互动质量的种族差异有助于解释观察到的满意度差异，但不是在使用卫生服务。医患关系中的障碍导致了医疗保健经验中的种族差异。
Objectives. This study explored whether racial differences in patient-physician relationships contribute to disparities in the quality of health care.Methods. We analyzed data from The Commonwealth Fund's 2001 Health Care Quality Survey to determine whether racial differences in patients' satisfaction with health care and use of basic health services were explained by differences in quality of patient-physician interactions, physicians' cultural sensitivity, or patient-physician racial concordance..Results. Both satisfaction with and use of health services were lower for Hispanics and Asians than for Blacks and Whites. Racial differences in the quality of patient-physician interactions helped explain the observed disparities in satisfaction, but not in the use of health services.Conclusions. Barriers in the patient-physician relationship contribute to racial disparities in the experience of health care.