Racial differences in attitudes toward innovative medical technology
Racial differences in attitudes toward innovative medical technology
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DOI：
10.1111/j.1525-1497.2006.00453.x
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发表时间：
2006-06-01
影响因子：
5.7
通讯作者：
Shea, Judy E.
中科院分区：
文献类型：
--
作者：
Groeneveld, Peter W.;Sonnad, Seema S.;Shea, Judy E.
背景：新的医疗技术在白人和黑人中的使用率不同。这种差异可能部分由患者创新性的种族差异--患者采用不熟悉的治疗方法的倾向--来解释。目的：测量创新性在患者中的差异以及它如何影响患者对新医疗技术的态度。设计：横断面调查。参与者：初级保健患者（n=171-108名黑人，63名白人）在城市退伍军人事务医疗中心。受访者回答了关于他们的一般创新性和医疗技术创新性的问题，他们对描述一种假设的新处方药或可植入设备的小插曲做出反应。结果：在一般创新性方面没有显著的种族差异，但白人具有更高的医疗技术创新性（P=.001）。白人也更容易接受新的处方药（P = 0.003），但在接受新的植入式设备方面与黑人没有差异。在多因素分析中，黑人中较低的医疗技术创新得分与对处方药和非处方药的不良反应显著相关（P
BACKGROUND: New medical technologies are used at different rates among whites and blacks. This variation may be partially explained by racial differences in patient innovativeness-the propensity of patients to adopt unfamiliar therapies.OBJECTIVE: To measure how innovativeness varies among patients and how it may influence patients' attitudes toward new medical technologies.DESIGN: Cross-sectional survey.PARTICIPANTS: Primary care patients (n=171-108 blacks, 63 whites) at an urban Veterans Affairs medical center.MEASUREMENTS: Respondents answered questions about their general innovativeness and innovativeness regarding medical technology, and they responded to a vignette describing either a hypothetical new prescription drug or implantable device.RESULTS: There were no significant racial differences in general innovativeness, but whites had higher medical technology innovativeness (P=.001). Whites were also more likely to accept the new prescription drug (P =.003), but did not differ from blacks in acceptance of the new implantable device. In multivaiiate analyses, lower medical technology innovativeness scores among blacks were significantly associated with less favorable reactions to both the prescription drug (P