Racial and ethnic disparities in the use of health services - Bias, preference, or poor communication?
Racial and ethnic disparities in the use of health services - Bias, preference, or poor communication?
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DOI：
10.1046/j.1525-1497.2003.20532.x
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发表时间：
2003-02-01
影响因子：
5.7
通讯作者：
Street, RL
中科院分区：
文献类型：
--
作者：
Ashton, CM;Haidet, P;Street, RL
非裔美国人和拉丁裔美国人使用需要医生订单的服务的比例低于白人。种族偏见和患者偏好导致了差异，但它们的影响似乎很小。医疗互动中的沟通在后续干预和健康行为的决策中起着核心作用。研究表明，医生与少数族裔患者的沟通要比与其他族裔患者的沟通差，但医患沟通中的问题却很少受到关注，因为它是造成健康差距的潜在原因，也是可以补救的原因。我们评估了不良沟通是造成差异的原因的证据，并从沟通科学中提出了一些补救措施。
African Americans and Latinos use services that require a doctor's order at lower rates than do whites. Racial bias and patient preferences contribute to disparities, but their effects appear small. Communication during the medical interaction plays a central role in decision making about subsequent interventions and health behaviors. Research has shown that doctors have poorer communication with minority patients than with others, but problems in doctor-patient communication have received little attention as a potential cause, a remediable one, of health disparities. We evaluate the evidence that poor communication is a cause of disparities and propose some remedies drawn from the communication sciences.