Patients' race, ethnicity, language, and trust in a physician
Patients' race, ethnicity, language, and trust in a physician
复制标题
DOI：
10.1177/002214650604700406
复制
发表时间：
2006-12-01
影响因子：
5
通讯作者：
Kramer, Roderick M.
中科院分区：
文献类型：
--
作者：
Stepanikova, Irena;Mollborn, Stefanie;Kramer, Roderick M.
我们研究是否种族/语言为基础的变化，在测量水平的患者对医生的信任取决于用于测量信任的调查项目。调查项目包括：（1）直接测量患者对医生将患者医疗需求置于所有其他考虑之上的信任，（2）三个间接测量信任，询问对特定医生行为的期望，包括咨询专家，受保险规则的影响，以及进行不必要的检查。使用一项全国性的调查，我们发现较低的分数在间接措施的信任医生之间的少数民族用户的医疗保健服务比非西班牙裔白色用户。相比之下，一旦我们控制了潜在的混杂因素，非西班牙裔白人和非白人之间的信任的直接测量没有差异。结果表明，种族/民族/语言为基础的差异主要存在于这些方面的病人对医生的信任，反映了特定的医生的行为。
We examine whether raciallethnic/language-based variation in measured levels of patients' trust in a physician depends on the survey items used to measure that trust. Survey items include: (1) a direct measure of patients' trust that the doctor will put the patient medical needs above all other considerations, and (2) three indirect measures of trust asking about expectationsfor specific physician behaviors, including referring to a specialist, being influenced by insurance rules, and performing unnecessary tests. Using a national survey we find lower scores on indirect measures of trust in a physician among minority users of health care services than among non-Hispanic white users. In contrast, the direct measure of trust does not differ among non-Hispanic whites and non-whites once we control for potential confounding factors. The results indicate that racial/ethnic/language-based differences exist primarily in those aspects of patients' trust in a physician that reflect specific physician behaviors.