Association of stereotypes about physicians to health care satisfaction, help-seeking behavior, and adherence to treatment

Association of stereotypes about physicians to health care satisfaction, help-seeking behavior, and adherence to treatment
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DOI:
10.1016/s0277-9536(03)00277-6
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发表时间:
2004-03-01
影响因子:
5.4
通讯作者:
Figler, JL
Figler, JL
中科院分区:
医学2区
文献类型:
--
作者:
Bogart, LM;Bird, ST;Figler, JL

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本研究由三个研究组成,探讨了患者对医疗服务提供者的刻板印象在医疗服务决策过程中的作用。研究1探讨了低收入诊所样本中的刻板印象与医疗保健满意度和寻求帮助行为的关联;研究2探讨了低收入艾滋病毒感染者中刻板印象与满意度和坚持治疗的关系;研究3探讨了无家可归者样本中刻板印象与满意度和寻求帮助的关联。总体研究结果表明,那些对医生持负面刻板印象的人在生病时寻求护理的频率较低,对他们获得的护理不太满意,并且不太可能坚持医生的治疗建议。此外,非裔美国人,而不是白人,更积极的刻板印象报告更好的遵守在研究2中,并在研究3中对他们的医疗保健更满意。我们的研究结果指出,需要更好地了解患者对医疗保健的信念在预测医疗保健满意度和健康行为中的作用。(C)2003爱思唯尔有限公司。保留所有权利。
The present research consists of three studies examining the role of patients' stereotypes about health care providers in the health care decision process. Study 1 examined the association of stereotypes to health care satisfaction and help-seeking behavior among a low-income clinic sample; Study 2 examined the relationship of stereotypes to satisfaction and adherence to treatment among low-income individuals living with HIV; and Study 3 examined the association of stereotypes to satisfaction and help-seeking among a sample of homeless individuals. Overall findings indicate that individuals who held more negative stereotypes about physicians sought care less often when sick, were less satisfied with the care that they did obtain, and were less likely to adhere to physician recommendations for treatment. Moreover, African Americans, but not Whites, with more positive stereotypes reported better adherence in Study 2 and were more satisfied with their health care in Study 3. Our findings point to the need to better understand the role of patients' beliefs about health care in predicting health care satisfaction and health behaviors. (C) 2003 Elsevier Ltd. All rights reserved.