Ethnic inequalities in doctor-patient communication regarding personal care plans: the mediating effects of positive mental wellbeing.

摘要: Objective: There is limited understanding of ethnic inequalities in doctor-patient communication regarding personal care plans (PCPs). This study investigated the mediating effects positive mental wellbeing on differences PCP-related amongst South Asian and Caucasian UK residents. Design: Data from 10980 respondents to 2013 Health Survey for England was analysed using bootstrapping methods. Constructs WEMWBS (Warwick Edinburgh Mental Wellbeing Scale) (Stewart-Brown Janmohamed 2008) were assessed as mediators relations between ethnicity several variables, including interactions; (a) had a discussion about long-term condition with doctor/nurse, (b) this conversation within past year, (c) agreed PCP health professional; (d) talked doctor 2 weeks. Results: Bootstrapped mediation analysis (Hayes 2013) showed that three mind-sets mediated associations contact, communication. Being able make up one’s mind (ab = -0.05; BCa CI [-0.14, 0.01]) effect agreeing PCP, while having energy spare 0.07; [-0.04, 0.12]), feeling good oneself 0.03; [0.01, 0.07]), talking during fortnight. The reported persisted after controlling medical history, perceived health, other covariates. Conclusions: Ethnic disparities interaction, communication, are partly explained by wellbeing. Gauging psychological moods patients, particularly self-worth, self-perceived vigour decisiveness, relevant addressing As PCPs may have direct implications patient it important professionals address deficits functioning precipitate setting PCPs.