Medical mistrust and patient satisfaction with mammography: the mediating effects of perceived self-efficacy among navigated African American women.
Medical mistrust and patient satisfaction with mammography: the mediating effects of perceived self-efficacy among navigated African American women.
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DOI：
10.1111/hex.12278
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发表时间：
2015-12
期刊：
影响因子：
--
通讯作者：
Calhoun EA
中科院分区：
文献类型：
--
作者：
Molina Y;Kim S;Berrios N;Calhoun EA
鉴于医疗环境中历史和当代的种族主义，非裔美国妇女对医疗的不信任是突出的。不信任可能会影响导航妇女的满意度，通过影响妇女的偏好和看法，他们的医疗保健自我效能和他们的供应商的作用，在后续的异常teset结果。目的：（a）检验一般医疗不信任和医疗自我效能感是否能预测乳腺X射线摄影服务的满意度;（B）检验健康相关自我效能感的中介作用。目前的研究是一项随机对照患者导航试验的一部分，该试验针对的是在伊利诺伊州芝加哥的三家社区医院接受医生转诊以获得乳房X光检查的医疗服务不足的女性。在同意后，671名无癌症史的非洲裔美国妇女完成了关于医疗不信任的问卷，并接受了导航服务。在乳房X光检查预约后，女性完成了医疗保健自我效能和患者满意度问卷。女性较低的医疗不信任和更大的自我效能感报告更满意的护理。医疗不信任通过自我效能与患者满意度直接或间接相关。初步研究结果表明，未来旨在提高医疗自我效能的计划可能会提高非裔美国妇女对医疗不信任程度高的患者满意度。我们的研究结果增加了越来越多的文献，表明自我效能和积极参与医疗保健的重要性，特别是在服务不足的人群中。
Medical mistrust is salient among African American women, given historic and contemporary racism within medical settings. Mistrust may influence satisfaction among navigated women by affecting women's preferences and perceptions of their healthcare self-efficacy and their providers' roles in follow-up of abnormal teset results. To a) examine if general medical mistrust and healthcare self-efficacy predict satisfaction with mammography services; and b) test the mediating effects of health-related self-efficacy. The current study is a part of a randomized controlled patient navigation trial for medically underserved women who had received a physician referral to obtain a mammogram in three community hospitals in Chicago, IL. After consent, 671 African American women with no history of cancer completed questionnaires concerning medical mistrust and received navigation services. After their mammography appointment, women completed healthcare self-efficacy and patient satisfaction questionnaires. Women with lower medical mistrust and greater perceived self-efficacy reported greater satisfaction with care. Medical mistrust was directly and indirectly related to patient satisfaction through self-efficacy. Preliminary findings suggest future programs designed to increase healthcare self-efficacy may improve patient satisfaction among African American women with high levels of medical mistrust. Our findings add to a growing body of literature indicating the importance of self-efficacy and active participation in healthcare, especially among the underserved.
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