Participants' ratings of male physicians who vary in race and communication style
Participants' ratings of male physicians who vary in race and communication style
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DOI：
10.2466/pr0.91.7.793-806
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发表时间：
2002-12-01
影响因子：
2.3
通讯作者：
Roberts, CA
中科院分区：
文献类型：
--
作者：
Aruguete, MS;Roberts, CA
研究表明，即使在社会经济条件得到控制的情况下，少数民族获得的医疗保健质量也低于白色人。这种差异可能部分与种族偏见的态度和医生和患者之间的种族关系受损的沟通。本研究探讨医师的种族与非语言沟通风格对参与者评估的影响。当地健康诊所的患者为参与者（N=116：84%黑人，16%白色）。每个参与者观看了四个录像带中的一个，录像带显示了不同种族的医生（黑人或白色）和医生的非语言行为（表达关注或距离），然后完成了一份评估所描绘的医生的问卷。总体而言，参与者对同一种族的医生没有明显不同的偏好。然而，参与者的评价与医生的非语言风格显著相关。非语言的关注与最高的满意度，信任，自我披露，回忆的信息，推荐医生的可能性，并打算遵守医生的建议。当男性和女性参与者进行比较时，只有在男性参与者中才发现对同一种族的医生的偏好。结果表明，社会技能比种族在塑造病人对医生的看法更重要。
Research has shown minorities receive lower quality health care than White persons even with socioeconomic conditions controlled. This difference may partially be related to racially biased attitudes and impaired communication in interracial relationships between physicians and patients. This study investigated the effect of physicians' race and nonverbal communication style on participants' evaluations. Patients at a local health clinic were participants (N=116: 84% Black, 16% White). Each participant viewed one of four videotapes showing varied race of a physician (Black or White) and the physician's nonverbal behavior (expressing concern or distance), and then completed a questionnaire evaluating the depicted physician. Overall, participants did not give significantly different preferences for physicians of the same race. However, participants' evaluations were significantly associated with physicians' nonverbal style. Nonverbal concern was associated with highest satisfaction, trust, self-disclosure, recall of information, likelihood of recommending the physician, and intent to comply with the physician's recommendations. When male and female participants were compared, preference for a physician of the same race was found only among male participants who viewed verbally distant physicians. Results suggest that social skills are more important than race in shaping patients' perceptions of physicians.