AGING AND DOCTOR-PATIENT COMMUNICATION ABOUT SELF-CARE

拟议项目的重点是保健领域内一个被忽视的领域 服务研究-老龄化和种族差异的讨论 非处方药和替代疗法 医疗护理访视。 这项研究的独特之处在于， 成人英语和西班牙语的观点和经验， 所有年龄段的患者在初级保健医疗访问。 获得 更好地了解患者年龄和种族如何影响 自我保健是在初级保健环境中讨论的，现有的数据集 将用于 该数据集包括427份录音带和文字记录。 门诊访问以及访问后与患者的面谈， 医生 该数据集最初是在1995年收集的， 纽约大学全科医学和家庭诊所 墨西哥健康科学中心。 该数据集是唯一一个 收集了有关医生与病人互动的录音带 在美国，包括西班牙语和英语。 医生和病人讨论自我保健活动编码工具 将被开发。 427个医患互动中的每一个都将 使用开发的工具进行编码。 医生和病人之间的密码 然后将交互数据与患者和医生合并 访谈数据。 逻辑回归技术将用于分析 数据。 这项试点研究的结果将用于 开展一项对照试验，试图改善医生- 患者自我护理活动的患者沟通。

The proposed project is focused on a neglected area within health services research-aging and ethnic differences in the discussion of over-the-counter medications and alternative therapies during primary care medical visits. The proposed study is unique in that it examines the perspectives and experiences of adult English- and Spanish-speaking patients of all ages during primary care medical visits. To gain a better understanding of how patient age and ethnicity influence how self-care is discussed in primary care settings, an existing data set will be used. The data set includes audio-tapes and transcripts of 427 outpatient visits as well as post-visit interviews with patients and physicians. The data set was originally collected during 1995 at the general medicine and family practice clinics of the University of New Mexico Health Sciences Center. The data set is one of the only collections of audio-tapes of physician-patient interactions collected in the United States that includes Spanish as well as English speakers. A physician and patient discussion of self-care activities coding tool will be developed. Each of the 427 physician-patient interactions will be coded using the developed instrument. The coded physician-patient interaction data will then be merged with the patient and physician interview data. Logistic regression techniques will be used to analyze the data. The findings from this pilot study will then be used to develop a controlled trial that will attempt to improve physician- patient communication about patient self-care activities.