Race, Ethnicity, and the Health Care System: Public Perceptions and Experiences
Race, Ethnicity, and the Health Care System: Public Perceptions and Experiences
复制标题
种族、民族和医疗保健系统：公众的看法和经验
DOI：
10.1177/1077558700057001s10
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发表时间：
2000
影响因子：
2.5
通讯作者：
M. McIntosh
中科院分区：
文献类型：
--
作者：
M. Lillie;M. Brodie;D. Rowland;D. Altman;M. McIntosh
为了评估公众对医疗保健中种族和民族差异的看法和态度，凯撒家庭基金会于1999年对3884名具有全国代表性的白人、非裔美国人和拉美裔美国人进行了调查。调查发现，大多数美国人对医疗保健差距一无所知--许多人没有意识到，在婴儿死亡率和预期寿命方面，黑人的表现比白人差，而且拉丁裔拥有医疗保险的可能性低于白人。对于卫生系统是否对人一视同仁，人们的看法因种族而有显著不同。例如，大多数少数族裔美国人认为他们得到的医疗服务质量低于白人，但大多数白人不这么认为。尽管如此，更多的少数族裔美国人担心的是医疗费用，而不是种族障碍。消除差距的努力将需要提高公众对这些问题的认识，并解决护理方面的种族和经济障碍。
To assess the public’s perceptions and attitudes about racial and ethnic differences in health care, the Kaiser Family Foundation surveyed a nationally representative sample of 3,884 whites, African Americans, and Latinos in 1999. The survey found that the majority of Americans are uninformed about health care disparities—many were unaware that blacks fare worse than whites on measures susch as infant mortality and life expectancy, and that Latinos are less likely than whites to have health insurance. Views on whether the health system treats people equally were strikingly different by race. For example, most minority Americans perceive that they get lower quality care than whites, but most whites think otherwise. Nonetheless, more minority Americans were concerned about the cost of care than racial barriers. Efforts to eliminate disparities will need to improve public awareness of the problems as well as address racial and financial barriers to care.