Patient desire for spiritual assessment is unmet in urban and rural primary care settings.
Patient desire for spiritual assessment is unmet in urban and rural primary care settings.
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DOI：
10.1186/s12913-021-06300-y
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发表时间：
2021-03-31
影响因子：
2.8
通讯作者：
Coors ME
中科院分区：
文献类型：
--
作者：
Fuchs JR;Fuchs JW;Hauser JM;Coors ME
将患者的宗教和精神信仰纳入医疗护理已被证明可以提高医疗干预的功效和健康结果。虽然以前的研究已经强调了基于患者宗教信仰的患者对精神评估的愿望的差异，但对基于社区类型的患者对精神评估的愿望知之甚少，特别是在城市与农村社区相比。我们假设，考虑到农村地区宗教信仰程度较高的人口趋势，农村社区的患者更有可能渴望精神评估。在这项对科罗拉多农村和城市非宗教附属诊所的141名成人初级保健患者的横断面研究中，我们调查了患者的人口统计学信息，宗教信仰的测量，患者对精神评估的渴望，以及实践中精神评估的频率。单变量logistic回归分析用于比较两个人群。在丹佛县（城市）和林肯县（农村），超过90%的患者被确定为宗教，精神，或两者的组合。丹佛县38.3%的患者和林肯49.1%的患者希望进行精神评估。这两个地区超过97%的患者报告说，在过去一年中很少或从未被问及他们的R/S。对于在过去一年中有五次或五次以上诊所就诊的患者，这两个地区超过91%的人表示他们从未或很少被问及他们的信仰。虽然这项研究中的大多数患者都认为自己是宗教或精神上的，许多患者希望进行精神评估，但大多数患者在过去一年中从未或很少被问及他们的灵性。这表明，在初级保健环境中，患者的偏好和提供者的精神评估实践之间存在显着差距，这在农村和城市环境中是相似的。这突出了需要跨学科的重点精神评估和纳入病人的R/S信仰的医疗保健，提供全面的病人护理和改善健康状况。在线版本包含补充材料，可通过10.1186/s12913-021-06300-y获得。
Incorporation of patient religious and spiritual beliefs in medical care has been shown to improve the efficacy of medical interventions and health outcomes. While previous study has highlighted differences in patient desire for spiritual assessment based on patient religiosity, little is known about patient desire for spiritual assessment based on community type, particularly in urban compared to rural communities. We hypothesized that, given demographic trends which show a higher degree of religiosity in rural areas, patients in rural communities will be more likely to desire spiritual assessment. In this cross-sectional study of 141 adult primary care patients in rural and urban Colorado at non-religiously affiliated clinics, we surveyed patient demographic information, measures of religiosity, patient desire for spiritual assessment, and frequency of spiritual assessment in practice. Univariate logistic regression analyses were used to compare the two populations. In both Denver County (urban) and Lincoln County (rural) over 90% of patients identified as religious, spiritual, or a combination of the two. Thirty eight percent (38.3%) of patients in Denver County and 49.1% of patients in Lincoln desired spiritual assessment. Over 97% of patients in both areas reported rarely or never being asked about their R/S within the past year. For patients who have had five or more clinic visits in the past year, more than 91% in both areas stated they have never or rarely been asked about their beliefs. While the majority of patients in this study identify as religious or spiritual and many patients desire spiritual assessment, the majority of patients have never or rarely been asked about their spirituality within the past year. This demonstrates a significant gap between patient preference and provider practice of spiritual assessment in the primary care setting, which was similar in both rural and urban settings. This highlights the need for interdisciplinary focus on spiritual assessment and incorporation of patient R/S beliefs in medical care to provide holistic patient care and improve health outcomes. The online version contains supplementary material available at 10.1186/s12913-021-06300-y.
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DOI：
10.1177/104990910602300105
发表时间：
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期刊：
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影响因子：
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