Medical decision-making among Hispanics and non-Hispanic Whites with chronic back and knee pain: a qualitative study.
Medical decision-making among Hispanics and non-Hispanic Whites with chronic back and knee pain: a qualitative study.
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DOI：
10.1186/1471-2474-12-78
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发表时间：
2011-04-21
影响因子：
2.3
通讯作者：
Losina E
中科院分区：
文献类型：
--
作者：
Katz JN;Lyons N;Wolff LS;Silverman J;Emrani P;Holt HL;Corbett KL;Escalante A;Losina E
肌肉骨骼疾病影响所有种族和民族，包括西班牙裔。因为这些疾病不会危及生命，所以决策通常是基于偏好的。关于美国的西班牙裔与非西班牙裔白人在关键决策偏好方面是否存在差异，我们知之甚少。我们在一个城市医疗中心召集了六个焦点小组，包括西班牙裔和非西班牙裔白人慢性背部或膝盖疼痛患者，讨论他们的病情管理以及他们在医疗决策中喜欢扮演的角色。西班牙裔群体进一步按社会经济地位分层，使用邻里特征作为替代措施。讨论由主持人主持，录音，转录和分析使用接地理论的方法。该分析揭示了与医疗决策相关的几个领域的种族差异。具体来说，西班牙裔参与者更有可能允许他们的医生在做出健康决定方面发挥主导作用。此外，社会经济地位较低的拉美裔人一般更倾向于使用非互联网健康信息来源做出医疗决定，并依赖于口头获得的建议。拉美裔强调信仰和宗教在应对肌肉骨骼残疾方面的作用。分析还揭示了跨种族阶层的广泛的一致性，包括疼痛和实现疼痛缓解在患者的经历和决定中所起的主要作用。这些发现表明西班牙裔和非西班牙裔白人在偏好信息来源和决策角色方面存在差异。这些发现只是假设。如果在进一步的研究中得到证实，它们可能会为干预措施的发展提供信息，以增强西班牙裔人的偏好决策。
Musculoskeletal disorders affect all racial and ethnic groups, including Hispanics. Because these disorders are not life-threatening, decision-making is generally preference-based. Little is known about whether Hispanics in the U.S. differ from non-Hispanic Whites with respect to key decision making preferences. We assembled six focus groups of Hispanic and non-Hispanic White patients with chronic back or knee pain at an urban medical center to discuss management of their conditions and the roles they preferred in medical decision-making. Hispanic groups were further stratified by socioeconomic status, using neighborhood characteristics as proxy measures. Discussions were led by a moderator, taped, transcribed and analyzed using a grounded theory approach. The analysis revealed ethnic differences in several areas pertinent to medical decision-making. Specifically, Hispanic participants were more likely to permit their physician to take the predominant role in making health decisions. Also, Hispanics of lower socioeconomic status generally preferred to use non-internet sources of health information to make medical decisions and to rely on advice obtained by word of mouth. Hispanics emphasized the role of faith and religion in coping with musculoskeletal disability. The analysis also revealed broad areas of concordance across ethnic strata including the primary role that pain and achieving pain relief play in patients' experiences and decisions. These findings suggest differences between Hispanics and non-Hispanic Whites in preferred information sources and decision-making roles. These findings are hypothesis-generating. If confirmed in further research, they may inform the development of interventions to enhance preference-based decision-making among Hispanics.
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影响因子：
4.2
作者：
Figaro, MK;Russo, PW;Allegrante, JP
通讯作者：
Allegrante, JP
影响因子：
--
作者：
Lawrence, Reva C.;Felson, David T.;Wolfe, Frederick
通讯作者：
Wolfe, Frederick
影响因子：
2.3
作者：
Dosanjh, Sonia;Matta, Joel M.;Bhandari, Mohit
通讯作者：
Bhandari, Mohit
影响因子：
3.5
作者：
McFall, SL;Hamm, RM;Volk, RJ
通讯作者：
Volk, RJ
影响因子：
3
作者：
BARRY, MJ;FOWLER, FJ;WENNBERG, JE
通讯作者：
WENNBERG, JE