Context Many studies have documented race and gender differences in health care received by patients.
However, few studies have related differences in the quality of interpersonal care to patient and physician race and gender.
Objective To describe how the race/ethnicity and gender of patients and physicians are associated with physicians'participatory decision-making (PDM) styles.
Design, Setting, and Participants Telephone survey conducted between November r 1996 and June 1998 of 1816 adults aged 18 to 65 years (mean age, 41 years) who had recently attended 1 of 32 primary care practices associated with a large mixed-model managed care organization in an urban setting.
Sixty-six percent of patients surveyed were female, 43% were white, and 45% were African American.
The physician sample (n=64) was 63% male, with 56% white, and 25% African American.
Main Outcome Measure Patients'ratings of their physicians'PDM style on a 100-point scale.
Results African American patients rated their visits as significantly less participatory than whites in models adjusting for patient age, gender, education, marital status, health status, and length of the patient-physician relationship (mean [SE] PDM score, 58.0 [1.2] vs 60.6 [3.3] ; P=03).
Ratings of minority and white physicians did not differ with respect to PDM style (adjusted mean [SE] PDM score for African Americans, 59.2 [1.7] vs whites, 61.7 [3.1] ; P=13). (...)
Mots-clés Pascal : Relation médecin malade, Race, Sexe, Prise décision, Prise participation, Médecin, Malade, Pratique professionnelle, Homme
Mots-clés Pascal anglais : Physician patient relation, Race, Sex, Decision making, Share taking, Physician, Patient, Professional practice, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0436481
Code Inist : 002B30A03B. Création : 22/03/2000.