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How Socioeconomic Status Affects Patient Perceptions of Health Care: A Qualitative Study

机译:定性研究:社会经济状况如何影响患者对卫生保健的看法

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摘要

>Introduction: Clinician perceptions of patients with low socioeconomic status (SES) have been shown to affect clinical decision making and health care delivery in this group. However, it is unknown how and if low SES patients perceive clinician bias might affect their health care. >Methods: In-depth interviews with 80 enrollees in a state Medicaid program were analyzed to identify recurrent themes in their perceptions of care. >Results: Most subjects perceived that their SES affected their health care. Common themes included treatment provided, access to care, and patient-provider interaction. >Discussion: This study highlights complex perceptions patients have around how SES affects their health care. These results offer opportunities to reduce health care disparities through better understanding of their impact on the individual patient-provider relationship. This work may inform interventions that promote health equity via a multifaceted approach, which targets both providers and the health care system as a whole.
机译:>简介:临床医师对低社会经济地位(SES)的患者的认知已显示出会影响该组患者的临床决策和医疗服务。但是,尚不清楚低SES患者如何以及是否认为临床医生偏见会影响他们的医疗保健。 >方法:分析了对州医疗补助计划中80名参与者的深入访谈,以识别他们对护理的看法中反复出现的主题。 >结果:大多数受试者认为他们的SES影响了他们的医疗保健。共同的主题包括提供的治疗,获得护理以及患者与医患的互动。 >讨论:这项研究强调了患者对SES如何影响其医疗保健的复杂认识。这些结果为通过更好地了解医疗服务差异对患者与医患关系的影响提供了机会。这项工作可能会通过多方面的方法为旨在促进卫生公平的干预措施提供信息,该方法针对医疗服务提供者和整个卫生保健系统。

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