Attitudes toward health care providers, collecting information about patients' race, ethnicity, and language
Attitudes toward health care providers, collecting information about patients' race, ethnicity, and language
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DOI：
10.1097/mlr.0b013e318127148f
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发表时间：
2007-11-01
期刊：
影响因子：
3
通讯作者：
Brown, E. Richard
中科院分区：
文献类型：
--
作者：
Baker, David W.;Hasnain-Wynia, Romana;Brown, E. Richard
背景资料：专家建议卫生保健提供者（HCP）收集患者的种族/民族和语言，但我们对公众对此的态度知之甚少。目的：确定对HCP收集种族/民族和语言数据的态度。参与者：对563名加州人进行了电话调查，其中包括105名白人，97名黑人，199名西班牙裔（162名讲西班牙语），129名亚洲人（73名讲中文的人）和33名多种族人士。对HCP询问患者种族/种族和首选语言的态度，对提供自己的信息的担忧，对解释数据收集理由的声明的反应，结果：大多数人（87.8%）在某种程度上或强烈同意HCP应收集种族/民族信息，并利用这些信息来监测差异，73.6%的人支持州立法要求这样做。对收集患者首选语言的支持甚至更高。然而，17.2%的人对报告自己的种族/民族感到不舒服（10分制评分为1-4分），46.3%的参与者有点或非常担心提供信息可能被用来歧视他们。此外，35.9%的拉美裔人对报告他们的英语水平感到不安。所有解释数据收集的理由的声明适度增加了参与者的舒适度;这将用于员工培训的声明增加了舒适度most.Conclusions：虽然大多数受访者认为，HCP应该收集有关种族/民族和语言的信息，许多人感到不舒服，给这些信息，并担心它可能被滥用。解释收集数据的理由的声明可能会缓解关切，但可能需要社区参与和防止滥用的立法，以获得更广泛的信任和安慰。
Background: Experts recommend that health care providers (HCPs) collect patients' race/ethnicity and language, but we know little about public attitudes towards this.Objectives: To determine attitudes towards HCPs collecting race/ethnicity and language data.Participants: A telephone survey was held with 563 Californians, including 105 whites, 97 blacks, 199 Hispanics (162 Spanish-speaking), 129 Asians (73 Chinese-speaking), and 33 multiracial individuals.Measures: Attitudes towards HCPs asking patients their race/etlinicity and preferred language, concerns about providing their own information, reactions to statements explaining the rationale for data collection, and attitudes towards possible policies.Results: Most (87.8%) somewhat or strongly agreed that HCPs should collect race/ethnicity information and use this to monitor disparities, and 73.6% supported state legislation requiring this. Support for collection of patients' preferred language was even higher. However, 17.2% were uncomfortable (score 1-4 on 10-point scale) reporting their own race/ethnicity, and 46.3% of participants were somewhat or very worried that providing information could be used to discriminate against them. In addition, 35.9% of Hispanics were uncomfortable reporting their English proficiency. All statements explaining the rationale for data collection modestly increased participants' comfort level; the statement that this would be used for staff training increased comfort the most.Conclusions: Although most surveyed believe that HCPs should collect information about race/ethnicity and language, many feel uncomfortable giving this information and worry it could be misused. Statements explaining the rationale for collecting data may assuage concerns, but community engagement and legislation to prevent misuse may be needed to gain more widespread trust and comfort.