African American Women and Prenatal Care: Perceptions of Patient-Provider Interaction
African American Women and Prenatal Care: Perceptions of Patient-Provider Interaction
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DOI：
10.1177/0193945914533747
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发表时间：
2015-02-01
影响因子：
1.8
通讯作者：
Ronis, David L.
中科院分区：
文献类型：
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作者：
Dahlem, Chin Hwa Y.;Villarruel, Antonia M.;Ronis, David L.
少数种族/族裔之间的患者-提供者互动不良与医疗保健的差异有关。在这个描述性的，横断面研究中，我们研究非洲裔美国妇女的观点和经验的病人-提供者的互动（沟通和感知歧视）在他们最初的产前检查和他们的影响，对接受护理和产前健康行为的看法。怀孕的非洲裔美国妇女（n = 204）和他们的供应商（n = 21）完成了前和访视后的问卷调查，在首次产前访视。在随后的回访中，还对妇女进行了面对面的访谈。妇女认为高质量的患者提供者的沟通（PPC）和感知低歧视，在他们与供应商的互动。多元回归分析显示，PPC对提供者的信任（p <0.001）和产前护理满意度（p <0.001）有积极影响，但对坚持选定的产前健康行为没有影响。研究结果表明，高质量的PPC改善了非裔美国妇女的产前护理经验。
Poor patient-provider interaction among racial/ethnic minorities is associated with disparities in health care. In this descriptive, cross-sectional study, we examine African American women's perspectives and experiences of patient-provider interaction (communication and perceived discrimination) during their initial prenatal visit and their influences on perceptions of care received and prenatal health behaviors. Pregnant African American women (n = 204) and their providers (n = 21) completed a pre- and postvisit questionnaire at the initial prenatal visit. Women were also interviewed face to face at the subsequent return visit. Women perceived high quality patient-provider communication (PPC) and perceived low discrimination in their interaction with providers. Multiple regression analyses showed that PPC had a positive effect on trust in provider (p < .001) and on prenatal care satisfaction (p < .001) but not on adherence to selected prenatal health behaviors. Findings suggest that quality PPC improves the prenatal care experience for African American women.