African-American Parents' Trust in their Child's Primary Care Provider
African-American Parents' Trust in their Child's Primary Care Provider
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DOI：
10.1016/j.acap.2012.06.003
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发表时间：
2012-09-01
影响因子：
3.1
通讯作者：
Wissow, Lawrence S.
中科院分区：
文献类型：
--
作者：
Horn, Ivor B.;Mitchell, Stephanie J.;Wissow, Lawrence S.
目的：患者对初级保健提供者的信任在健康结果方面具有重要意义，在少数族裔患者中，也有助于缓解种族健康差异。这项研究旨在确定家庭、提供者和卫生保健环境特征，这些特征可以预测非裔美国父母对他们孩子的初级保健提供者的信任，以及提供者建立伙伴关系的沟通方式是否解释了这种联系。方法：通过对华盛顿特区7家儿科初级保健诊所中的1家(3家社区卫生中心、3家私人诊所和1家医院诊所)进行2周的回顾性电话采访收集数据。425名自认为是0至5岁儿童的非裔美国父母参加了调查。父母完成了几个关于信任和提供者沟通风格的标准调查工具，以及关于他们的家庭和孩子的提供者的人口统计学调查问卷。结果：逐步线性回归显示，与提供者有过一段关系和在社区卫生中心(CHC)看到提供者具有较高的信任度具有显著的独立影响。也有证据表明，通过提供者的沟通方式进行调解，表明带孩子去CHC的父母报告说他们对孩子的提供者有更大的信任，因为他们对提供者建立伙伴关系的看法更高。结论：非裔美国父母对他们孩子的提供者的信任可能会通过提供者的持续照顾和更多地使用建立伙伴关系的沟通方式来增强。
OBJECTIVE: Patients' trust in their primary care providers has important implications in terms of health outcomes and, among minority patients, mitigating racial health disparities. This study aims to identify family, provider, and health care setting characteristics that predict African American parents' trust in their child's primary care provider and whether provider partnership-building communication style explains this association.METHODS: Data were collected via retrospective telephone interviews completed 2 weeks after a child's health care visit to 1 of 7 pediatric primary care clinics in Washington, DC (3 community health centers, 3 private practices, and 1 hospital-based clinic). Four hundred twenty-five self-identified African American parents of children 0 to 5 years of age participated. Parents completed several standard survey instruments about trust and provider communication style as well as demographic questionnaires about their family and their child's provider.RESULTS: A step-wise linear regression revealed significant independent effects of having a previous relationship with the provider and seeing a provider in a community health center (CHC) on higher trust. There was also evidence of mediation by provider communication style, suggesting that parents who take their child to a CHC report greater trust in their child's provider because they have higher perceptions of provider partnership building.CONCLUSIONS: African American parents' trust in their child's provider may be enhanced by continuity of care and greater use of a partnership-building communication style by providers.