Disparities in Patient Experiences, Health Care Processes, and Outcomes: The Role of Patient-Provider Racial, Ethnic, and Language Concordance
Disparities in Patient Experiences, Health Care Processes, and Outcomes: The Role of Patient-Provider Racial, Ethnic, and Language Concordance
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患者体验、医疗保健过程和结果的差异：患者提供者种族、民族和语言一致性的作用
DOI：
10.13016/xfcu-rh1z
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发表时间：
2004
影响因子：
4
通讯作者：
N. Powe
中科院分区：
文献类型：
--
作者：
L. Cooper;N. Powe
少数族裔在医生和其他保健专业人员中的代表性很低。在所谓的“种族不和谐”关系中，来自不同种族群体的患者经常由来自不同种族背景的专业人员治疗。本文回顾的研究记录了医疗保健中持续存在的种族和民族差异，并将患者-医生种族和民族一致性与更高的患者满意度和更好的医疗保健过程联系起来。基于这项研究，作者提出以下建议：1）应修订卫生政策，通过资助招募少数民族学生和医学教师的计划来鼓励劳动力的多样性; 2）卫生系统应优化其提供者与少数民族患者建立融洽关系的能力，以改善临床实践和医疗服务; 3）文化能力培训应纳入卫生专业人员的教育;和4）未来的研究应提供更多的洞察力的机制，病人和医生的种族，民族和语言的一致性影响的过程和结果的照顾。
Ethnic minorities are poorly represented among physicians and other health professionals. In what is called “race-discordant” relationships, patients from ethnic groups frequently are treated by professionals from a different ethnic background. The research reviewed here documents ongoing racial and ethnic disparities in health care and links patient–physician race and ethnic concordance with higher patient satisfaction and better health care processes. Based on this research, the authors issue the following recommendations: 1) health policy should be revised to encourage workforce diversity by funding programs that support the recruitment of minority students and medical faculty; 2) health systems should optimize their providers’ ability to establish rapport with minority patients to improve clinical practice and health care delivery; 3) cultural competency training should be incorporated into the education of health professionals; and 4) future research should provide additional insight into the mechanisms by which concordance of patient and physician race, ethnicity, and language influences processes and outcomes of care.
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