Patient-physician racial/ethnic concordance and blood pressure control: the role of trust and medication adherence.
Patient-physician racial/ethnic concordance and blood pressure control: the role of trust and medication adherence.
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DOI：
10.1080/13557858.2013.857764
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发表时间：
2014
影响因子：
3.1
通讯作者：
Linzer M
中科院分区：
文献类型：
--
作者：
Schoenthaler A;Montague E;Baier Manwell L;Brown R;Schwartz MD;Linzer M
研究种族/民族一致性和血压控制之间的关联，并确定患者的信任和药物依从性是否介导了这些关联。对2001-2005年期间在119家初级保健诊所接受205名白色和非裔美国人提供者治疗的723名高血压非裔美国人和白色患者进行横断面研究。人种/种族一致性的特征是患者和医生为同一人种/种族的二人组;不一致性发生在患者为非裔美国人而医生为白色的二人组。患者的信任和药物依从性的看法进行了评估与自我报告的措施。使用标准化程序从患者的病历中提取血压读数。637例患者的种族/民族关系一致; 86例患者的种族/民族关系不一致。一致性与血压控制无关。人种/种族一致关系中的白色患者比人种/种族不一致关系中的非洲裔美国患者更有可能报告更好的依从性（OR：1.27 95% CI：1.01，1.61 p = 0.04）。非裔美国患者在种族/民族一致性与不一致性关系中的依从性差异不大。在所有患者中，增加信任与更好的依从性（OR：1.17，95% CI：1.04，1.31，p < 0.01）和更好的血压控制趋势（OR：1.26，95% CI：0.97，1.63，p=0.07）相关。患者的信任可能会影响药物治疗的依从性和血压控制，无论患者-医生的种族/民族组成。
To examine associations between racial/ethnic concordance and BP control, and determine if patient trust and medication adherence mediate these associations. Cross-sectional study of 723 hypertensive African American and White patients receiving care from 205 White and African American providers at 119 primary care clinics, from 2001–2005. Racial/ethnic concordance was characterized as dyads where both the patient and physician were of the same race/ethnicity; discordance occurred in dyads where the patient was African American and the physician was White. Patient perceptions of trust and medication adherence were assessed with self-report measures. Blood pressure readings were abstracted from patients’ medical charts using standardized procedures. Six hundred thirty seven patients were in race/ethnic-concordant relationships; 86 were in race/ethnic-discordant relationships. Concordance had no association with blood pressure control. White patients in race/ethnic-concordant relationships were more likely to report better adherence than African American patients in race/ethnic-discordant relationships (OR: 1.27 95% CI: 1.01, 1.61 p = 0.04). Little difference in adherence was found for African American patients in race/ethnic-concordant vs. discordant relationships. Increasing trust was associated with significantly better adherence (OR: 1.17 95% CI: 1.04, 1.31, p < 0.01) and a trend toward better BP control among all patients (OR: 1.26, 95% CI: 0.97, 1.63, p=0.07). Patient trust may influence medication adherence and BP control regardless of patient-physician racial/ethnic composition.
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影响因子：
3.1
作者：
Meghani SH;Brooks JM;Gipson-Jones T;Waite R;Whitfield-Harris L;Deatrick JA
通讯作者：
Deatrick JA
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
5.4
作者：
Lee, Yin-Yang;Lin, Julia L.
通讯作者：
Lin, Julia L.
DOI：
10.1057/hs.2012.11
发表时间：
2012-12-01
期刊：
Health systems (Basingstoke, England)
影响因子：
--
作者：
Montague E;Asan O
通讯作者：
Asan O
影响因子：
2.5
作者：
Hall, MA;Zheng, BY;Balkrishnan, R
通讯作者：
Balkrishnan, R