Patient-Physician Role Relationships and Patient Activation: The Moderating Effects of Race and Ethnicity
Patient-Physician Role Relationships and Patient Activation: The Moderating Effects of Race and Ethnicity
复制标题
DOI：
10.1177/1077558714541967
复制
发表时间：
2014-10-01
影响因子：
2.5
通讯作者：
Mittler, Jessica N.
中科院分区：
文献类型：
--
作者：
Alexander, Jeff;Hearld, Larry;Mittler, Jessica N.
本文的目标是实证描述种族和少数民族如何比较与白人在他们的角色与医生的关系，并检查这些关系的差异是如何相关的（积极或消极）与患者激活的少数群体，相对于白人。根据对从8，140名慢性病患者随机样本中收集的调查数据的分析，我们发现黑人和西班牙裔通常认为他们与医生的角色关系不如白人公平，并且少数民族从与医生更公平的角色关系中获得的好处在患者-医生关系或种族和民族亚组的各个维度上并不一致。基于这些研究结果，我们认为，种族和民族应考虑在开发和评估量身定制的干预措施，以提高激活。
The goals of this article were to empirically describe how racial and ethnic minorities compare with Whites in terms of their role relationships with physicians and examine how differences in those relationships are associated (positively or negatively) with patient activation for minority groups, relative to Whites. Based on analysis of survey data collected from a random sample of 8,140 individuals with chronic illness, we found that both Blacks and Hispanics generally perceive their role relationships with physicians to be less equitable than do Whites and that the benefits to minorities from more equitable role relationships with physicians are not uniform across dimensions of patient-physician relationships or racial and ethnic subgroups. Based on these findings, we submit that race and ethnicity should be considered in the development and assessment of tailored interventions to improve activation.