Affective interactions in medical visits: ethnic differences among American Indian older adults.

作者: Eva Marie Garroutte , Natalia Sarkisian , Sergey Karamnov

DOI: 10.1177/0898264312457410

关键词:

摘要: Objective: Investigate influence of ethnicity on older American Indian patients’ interpretations providers’ affective behaviors. Method: Using data from 115 patients, random effects ordered logit models related patient ratings respect, empathy, and rapport first to separate measures White ethnicity, then “ethnic discordance,” or difference between cultural characteristics. Results: In accounting for only, high scores were linked reduced evaluations respect; associated with elevated empathy rapport. provider–patient ethnic discordance, discordance either scale was the same Discussion: Findings support “orthogonal identity” theory extend “cultural health capital” theory, suggesting a pa...

参考文章(65)
M Robin DiMatteo, Kelly B Haskard, Summer L Williams, The therapeutic effects of the physician-older patient relationship: effective communication with vulnerable older patients. Clinical Interventions in Aging. ,vol. 2, pp. 453- 467 ,(2007)
Kurt C. Stange, Robin S. Gotler, Meredith A. Goodwin, M. Norman Oliver, Patrice M. Gregory, Time use in clinical encounters: Are African-American patients treated differently? Journal of The National Medical Association. ,vol. 93, pp. 380- 385 ,(2001)
Lucy M. Candib, Warren J. Ferguson, Culture, language, and the doctor-patient relationship. Family Medicine. ,vol. 34, pp. 353- ,(2002)
Janice C. Blanchard, Nicole Lurie, R-E-S-P-E-C-T: patient reports of disrespect in the health care setting and its impact on care. Journal of Family Practice. ,vol. 53, pp. 721- 730 ,(2004)
Shapiro J, Saltzer E, Cross-cultural aspects of physician-patient communications patterns. Urban health. ,vol. 10, pp. 10- ,(1981)
S. Melinda Spencer, R. Turner Goins, Public Health Issues among Older American Indians and Alaska Natives Generations. ,vol. 29, pp. 30- ,(2005)
Betsy Sleath, Angela Arrey-Wastavino, Richard H. Rubin, Physician expression of empathy and positiveness to Hispanic and non-Hispanic white patients during medical encounters. Family Medicine. ,vol. 32, pp. 91- 96 ,(2000)
A R Tarlov, T S Inui, D A Taira, W H Rogers, J Montgomery, D G Safran, T B Seto, Do patient assessments of primary care differ by patient ethnicity Health Services Research. ,vol. 36, pp. 1059- 1071 ,(2001) , 10.13016/G2T5-J8TE
Adrienne Y Stith, Brian D Smedley, Alan R Nelson, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care ,(2003)