Asian Americans' reports of their health care experiences - Results of a national survey
Asian Americans' reports of their health care experiences - Results of a national survey
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DOI：
10.1111/j.1525-1497.2004.30143.x
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发表时间：
2004-02-01
影响因子：
5.7
通讯作者：
Phillips, RS
中科院分区：
文献类型：
--
作者：
Ngo-Metzger, Q;Legedza, ATR;Phillips, RS
目的：考察亚裔种族/民族如何影响患者的医疗体验和对医疗服务的满意度。设计：使用随机数字拨号进行电话访问，对居住在少数民族比例不成比例的地区的成年人进行分层。配对和背景：白人(N=3,205)和亚裔美国人(N=521)受访者，加权代表电话家庭中生活在美国大陆的所有此类成年人。测量：上次就诊时对医生的医疗体验和信任的报告，以及过去两年对护理的总体满意度和更换医生的愿望。主要结果：亚裔美国人报告他们的医生曾与他们谈论过生活方式或心理健康问题的可能性低于白人(P<0.01)。他们更有可能报告他们的正规医生不了解他们的背景和价值观(P<0.01或等于0.01)。当被问及最后一次就诊时，他们更有可能报告说，他们的医生没有听取他们的意见，没有花费足够多的时间，或者让他们尽可能多地参与有关护理的决定(所有P均小于或等于0.0001)。在多变量分析中，亚裔美国人比白人更不可能报告他们对医疗保健非常满意(优势比[OR]，0.64，95%可信区间[CI]，0.42至0.99)。然而，与白人相比，他们信任医生(OR，0.79，95%CI，0.52至1.20)或更换医生(OR，0.93，95%CI，0.56至1.56)的可能性并未显著降低。结论：在一项全国性调查中，亚裔美国人接受咨询的可能性低于白人受访者，报告与医生积极互动的可能性也低于白人受访者。需要更多的研究来确定这些差异的原因。
OBJECTIVE: To examine how Asian race/ethnicity affects patients' health care experiences and satisfaction with care.DESIGN: Telephone interview using random-digit dialing, stratified to over-sample adults living in areas with disproportionately large numbers of minorities.PARTICIPANTS AND SETTING: White (N = 3,205) and Asian-American (N = 521) respondents, weighted to represent all such adults living in the continental U.S. in telephone households.MEASUREMENTS: Reports of health care experiences and trust in the doctor at the last visit, and overall satisfaction with care and desire to change doctors in the last 2 years.MAIN RESULTS: Asian Americans were less likely than whites to report that their doctors ever talked to them about lifestyle or mental health issues (P less than or equal to .01). They were more likely to report that their regular doctors did not understand their background and values (P less than or equal to .01). When asked about the last visit, they were more likely to report that their doctors did not listen, spend as much time, or involve them in decisions about care as much as they wanted (all P less than or equal to .0001). In multivariable analyses, Asian Americans were less likely than whites to report that they were very satisfied with care (odds ratio [OR], 0.64, 95% confidence interval [CI], 0.42 to 0.99). However, they were not significantly less likely than whites to trust their doctors (OR, 0.79, 95% CI, 0.52 to 1.20), or to change doctors (OR, 0.93, 95% CI, 0.56 to 1.56).CONCLUSIONS: In a national survey, Asian Americans were less likely to receive counseling and less likely to report positive interactions with their doctors than white respondents. More research is needed to determine the reasons for these differences.