It's a Matter of Trust: Older African Americans Speak About Their Health Care Encounters.
It's a Matter of Trust: Older African Americans Speak About Their Health Care Encounters.
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这是一个信任的问题：年长的非洲裔美国人谈论他们的医疗保健遭遇。
DOI：
10.1177/0733464815570662
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发表时间：
2016-10
期刊：
影响因子：
--
通讯作者：
Gitlin LN
中科院分区：
文献类型：
--
作者：
Hansen BR;Hodgson NA;Gitlin LN
检查老年非裔美国人与医疗保健提供者接触的看法以及增强信任的方法。采用模式编码方法，对非裔美国老年中心成员的转录半结构化访谈进行分析。出现了四个主题：“增加侮辱的种族主义”，“替代补救措施”，“良好的供应商在一个'破碎'的系统，”和“信任的基础是人的认可。”导致不信任的提供者行为包括错误地假设刻板的偏好和能力，花费不充分的时间倾听患者，忽视患者的偏好，以及不充分地解释治疗。提高老年非裔美国人患者之间的信任的重要性是通过重新分配稀缺的时间以人为本的倾听，个性化治疗，更完整地解释干预措施，并确保患者理解和同意治疗计划来重视个人历史和偏好。
To examine perceptions of older African Americans’ encounters with health care providers and ways to enhance trust. Transcribed semi-structured interviews with African American senior center members were analyzed, using Pattern Coding method. Four themes emerged: “Added Insult of Ageism,” “Alternative Remedies,” “Good Providers in a ‘Broken’ System,” and “The Foundation of Trust Is Person Recognition.” Provider behaviors leading to mistrust included erroneously assuming stereotypical preferences and competence, spending inadequate time listening to patients, disregarding patient preferences, and insufficiently explaining treatments. Of importance to improving trust among older African American patients is valuing individual histories and preferences by reallocating scarce time to person-centered listening, individualizing treatments, more completely explaining interventions, and assuring that patients understand and agree with treatment plans.