Patient-clinician ethnic concordance and communication in mental health intake visits
Patient-clinician ethnic concordance and communication in mental health intake visits
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DOI：
10.1016/j.pec.2013.07.001
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发表时间：
2013-11-01
影响因子：
3.5
通讯作者：
Shrout, Patrick E.
中科院分区：
文献类型：
--
作者：
Alegria, Margarita;Roter, Debra L.;Shrout, Patrick E.
目的：本研究探讨如何沟通模式不同的种族和民族的病人-临床医生二人组在心理健康摄入会议和它的关系，继续治疗，定义为参加下一个预定的appoint.Methods：观察性研究的沟通模式之间的种族/种族和谐和不和谐的病人-临床医生二人组。主要分析包括93例患者，38名临床医生，种族/种族一致和不一致的二人组。通信编码使用Roter互动分析系统（RIAS）和工作联盟库存观察员（WAI-O）债券规模;继续照顾来自图表审查。拉丁裔和谐二分体患者更口头优势（p < .05），参与更多以患者为中心的沟通（p < .05），并且在（WAI-O）债券量表上的得分高于其他组（所有p < .05）。在调整非沟通变量的模型中，拉丁美洲患者的持续率高于其他患者。当沟通，全球影响，和治疗过程变量进行调整，差异被逆转和白色二进制患者有较高的持续护理率比其他二进制patients.Conclusion：沟通模式似乎可以解释的作用，种族和谐的持续护理。实践意义：提高跨文化交流中的跨文化接触似乎保留少数民族的照顾显着。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Objective: This study examines how communication patterns vary across racial and ethnic patient-clinician dyads in mental health intake sessions and its relation to continuance in treatment, defined as attending the next scheduled appointment.Methods: Observational study of communication patterns among ethnically/racially concordant and discordant patient-clinician dyads. Primary analysis included 93 patients with 38 clinicians in race/ethnic concordant and discordant dyads. Communication was coded using the Roter Interaction Analysis System (RIAS) and the Working Alliance Inventory Observer (WAI-O) bond scale; continuance in care was derived from chart reviews.Results: Latino concordant dyad patients were more verbally dominant (p < .05), engaged in more patient-centered communication (p < .05) and scored higher on the (WAI-O) bond scale (all p < .05) than other groups. Latino patients had higher continuance rates than other patients in models that adjusted for non-communication variables. When communication, global affect, and therapeutic process variables were adjusted for, differences were reversed and white dyad patients had higher continuance in care rates than other dyad patients.Conclusion: Communication patterns seem to explain the role of ethnic concordance for continuance in care. Practice implications: Improve intercultural communication in cross cultural encounters appears significant for retaining minorities in care. (C) 2013 Elsevier Ireland Ltd. All rights reserved.