RACIAL DIFFERENCES IN MEDICAL CARE SATISFACTION

最近的研究集中在种族差异的规定， 医疗等 在过去的十年里，主要的调查发现， 美国人对医疗保健的满意度低于白人， 接收。 不满对健康有重要影响 行为 它可能导致医疗保健利用率降低， 医生建议的依从性和较差的健康结果。 满意度的种族差异的来源还没有得到证实。 研究了 拟议中的研究将确定一些原因 非裔美国人与白人在医疗服务满意度方面的差异 在乎 有三个具体目标。 目标1：确定医疗保健选择中的种族差异 导致对医疗服务满意度的差异。种族 收入和保险状况的差异可能导致 由于缺乏通常的照顾而感到满意。 目标2： 确定在医疗保健系统中， 导致对医疗服务满意度的差异。 医疗遭遇中基于教育、收入和 种族可能导致非洲裔美国人的满意度较低。 目标3：确定健康状况的种族差异如何影响 医疗满意度的差异。 两者的种族差异 身体和心理健康可以解释部分原因， 满意度的差异。 这些目标导致三个假设。 1.有限的医疗保健选择 导致非裔美国人的满意度较低。 2. 非裔美国人在医疗接触中受到的待遇较差， 从而降低他们对护理的满意度。 3.健康状况较差 地位有助于非洲裔美国人的满意度较低， 医疗等 这些假设将使用两种方法进行检验。 定量 对1995年底特律地区研究的分析将确定哪些因素是 统计上有影响力。 原始焦点小组数据将澄清 这些因素发挥作用的机制。

Recent research has focused on racial differences in the provision of medical care. In the last decade major surveys have found that African Americans are less satisfied than whites with the medical care that they receive. Dissatisfaction has important consequences for health behavior. It may result in lower rates of health care utilization, less compliance with physician recommendations, and poorer health outcomes. The sources of racial differences in satisfaction have not been investigated. The proposed research will determine some of the causes of the African American-white differences in satisfaction with medical care. There are three Specific Aims. Aim 1: To determine how racial differences in health care options contribute to differences in satisfaction with medical care. Racial differences in income and insurance status may lead to differences in satisfaction through lack of a usual source of care. Aim 2: To determine how racial differences in experience in the health care system contribute to differences in satisfaction with medical care. Discrimination in the medical encounter based on education, income and race may lead to lower rates of satisfaction among African Americans. Aim 3: To determine how racial differences in health status contribute to differences in health care satisfaction. Racial differences in both physical and psychological well-being may explain part of the differences in satisfaction. These Aims lead to three hypotheses. 1. Restricted health care options contribute to African Americans lower rates of satisfaction. 2. African Americans receive poorer treatment in medical encounters, thereby decreasing their satisfaction with care. 3. Poorer health status contributes to African Americans lower rates of satisfaction with medical care. These hypotheses will be tested using two methods. A quantitative analysis of the 1995 Detroit Area Study will determine which factors are statistically influential. Original focus group data will clarify the mechanisms by which these factors operate.