当前位置： SCI文献检索 > JOURNAL OF GENERAL INTERNAL MEDICINE期刊下所有文献 > Racial and ethnic disparities in the use of health services: bias, preferences, or poor communication?

Racial and ethnic disparities in the use of health services: bias, preferences, or poor communication?

Abstract：

:African Americans and Latinos use services that require a doctor's order at lower rates than do whites. Racial bias and patient preferences contribute to disparities, but their effects appear small. Communication during the medical interaction plays a central role in decision making about subsequent interventions and health behaviors. Research has shown that doctors have poorer communication with minority patients than with others, but problems in doctor-patient communication have received little attention as a potential cause, a remediable one, of health disparities. We evaluate the evidence that poor communication is a cause of disparities and propose some remedies drawn from the communication sciences.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Ashton CM,Haidet P,Paterniti DA,Collins TC,Gordon HS,O'Malley K,Petersen LA,Sharf BF,Suarez-Almazor ME,Wray NP,Street RL Jr

doi

10.1046/j.1525-1497.2003.20532.x

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

146-52

issue

2

eissn

0884-8734

issn

1525-1497

pii

jgi20532

journal_volume

18

pub_type

杂志文章

相关文献

JOURNAL OF GENERAL INTERNAL MEDICINE文献大全
  • Communication factors in the follow-up of abnormal mammograms.

    abstract：OBJECTIVE:To identify the communication factors that are significantly associated with appropriate short-term follow-up of abnormal mammograms. DESIGN:Prospective longitudinal study involving medical record review and patient survey. SETTING:Ten academically affiliated ambulatory medical practices in the Boston metro...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1111/j.1525-1497.2004.30357.x

    authors： Poon EG,Haas JS,Louise Puopolo A,Gandhi TK,Burdick E,Bates DW,Brennan TA

    更新日期：2004-04-01 00:00:00

  • Primary Care Clinicians' Beliefs and Strategies for Managing Chronic Pain in an Era of a National Opioid Epidemic.

    abstract：BACKGROUND:Little is known about how primary care clinicians (PCCs) approach chronic pain management in the current climate of rapidly changing guidelines and the growing body of research about risks and benefits of opioid therapy. OBJECTIVE:To better understand PCCs' approaches to managing patients with chronic pain ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-020-06178-2

    authors： Militello LG,Hurley RW,Cook RL,Danielson EC,Diiulio J,Downs SM,Anders S,Harle CA

    更新日期：2020-12-01 00:00:00

  • What Quality and Safety of Care for Patients Admitted to Clinically Inappropriate Wards: a Systematic Review.

    abstract：BACKGROUND:In countries with public health system, hospital bed reductions and increasing social and medical frailty have led to the phenomenon of "outliers" or "outlying hospital in-patients." They are often medical patients who, because of unavailability of beds in their clinically appropriate ward, are admitted wher...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-019-05008-4

    authors： La Regina M,Guarneri F,Romano E,Orlandini F,Nardi R,Mazzone A,Fontanella A,Campanini M,Manfellotto D,Bellandi T,Gussoni G,Tartaglia R,Squizzato A

    更新日期：2019-07-01 00:00:00

  • Decreased length of stay and cumulative hospitalized days despite increased patient admissions and readmissions in an area of urban poverty.

    abstract：BACKGROUND:Length of stay at US acute care hospitals has been steadily decreasing since 1960, and there is ongoing concern that increasing financial pressures on hospitals with high proportions of Medicaid patients may be causing unduly short lengths of stay. OBJECTIVE:To study temporal trends in hospital utilization ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-010-1370-5

    authors： Kalra AD,Fisher RS,Axelrod P

    更新日期：2010-09-01 00:00:00

  • Body piercing medical concerns with cutting-edge fashion.

    abstract：OBJECTIVE:To review the current information on medical complications, psychological implications, and legislative issues related to body piercing, a largely unregulated industry in the United States. METHODS:We conducted a MEDLINE search of English language articles from 1966 until May 1998 using the search terms "bod...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1046/j.1525-1497.1999.00357.x

    authors： Koenig LM,Carnes M

    更新日期：1999-06-01 00:00:00

  • Recent advances in the acute management of migraine and cluster headaches.

    abstract：:I have discussed the pharmacokinetics, efficacies, and side effects of the various nonnarcotic drugs available for the treatment of patients who have headache. Sumatriptan, the newest one, is expensive but may be cost-effective for those who have failed traditional migraine treatment, who visit the ER frequently, who ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/BF02599185

    authors： Kumar KL

    更新日期：1994-06-01 00:00:00

  • Unearthing Faculty and Trainee Perspectives of Feedback in Internal Medicine: the Oral Case Presentation as a Model.

    abstract：BACKGROUND:The case presentation is a fundamental activity used in both patient care and trainee education, partly due to feedback from supervisor to trainee. Although feedback in medical education is well studied, prior studies have not focused on the perceptions of feedback by Internal Medicine supervisors and traine...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-019-05134-z

    authors： Rassos J,Melvin LJ,Panisko D,Kulasegaram K,Kuper A

    更新日期：2019-10-01 00:00:00

  • Screening and intervention for alcohol problems. A national survey of primary care physicians and psychiatrists.

    abstract：OBJECTIVE:To describe adult primary care physicians' and psychiatrists' approach to alcohol screening and treatment, and to identify correlates of more optimal practices. DESIGN:Cross-sectional mailed survey. PARTICIPANTS:A national systematic sample of 2,000 physicians practicing general internal medicine, family me...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1046/j.1525-1497.2000.03379.x

    authors： Friedmann PD,McCullough D,Chin MH,Saitz R

    更新日期：2000-02-01 00:00:00

  • Development and Content Validation of a Patient-Reported Sexual Risk Measure for Use in Primary Care.

    abstract：BACKGROUND:Patient-provider sexual risk behavior discussions occur infrequently but may be facilitated by high-quality sexual risk screening tools. OBJECTIVE:To develop the Sexual Risk Behavior Inventory (SRBI), a brief computer-administered patient-reported measure. DESIGN:Qualitative item development/quantitative i...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s11606-018-4496-5

    authors： Fredericksen RJ,Mayer KH,Gibbons LE,Edwards TC,Yang FM,Walcott M,Brown S,Dant L,Loo S,Gutierrez C,Paez E,Fitzsimmons E,Wu AW,Mugavero MJ,Mathews WC,Lober WB,Kitahata MM,Patrick DL,Crane PK,Crane HM

    更新日期：2018-10-01 00:00:00

  • Extent and determinants of discrepancy between self-evaluations of weight status and clinical standards.

    abstract：OBJECTIVES:To examine the extent and type of discordance between personal and medical classifications of weight status, and to examine the influence of sociodemographic factors on the misclassification of weight status. DESIGN/SETTING:The 1991 Health Promotion and Disease Prevention Supplement of the National Health I...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1046/j.1525-1497.2001.016008538.x

    authors： Chang VW,Christakis NA

    更新日期：2001-08-01 00:00:00

  • Chaperone use by residents during pelvic, breast, testicular, and rectal exams.

    abstract：:We designed a questionnaire survey to study internal medicine residents' plans to use a chaperone during the pelvic, breast, rectal, and testicular examinations. We found chaperone use by male and female residents differed markedly, and neither group planned to use chaperones universally. When examining female patient...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1046/j.1525-1497.2000.10006.x

    authors： Ehrenthal DB,Farber NJ,Collier VU,Aboff BM

    更新日期：2000-08-01 00:00:00

  • Writing more informative letters of reference.

    abstract：:Writing a meaningful and valuable letter of reference is not an easy task. Several factors influence the quality of any letter of reference. First, the accuracy and reliability of the writer's impressions and judgment depend on how well he knows the individual being described. Second, the writer's frame of reference, ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1111/j.1525-1497.2004.30142.x

    authors： Wright SM,Ziegelstein RC

    更新日期：2004-05-01 00:00:00

  • Impact of a randomized controlled educational trial to improve physician practice behaviors around screening for inherited breast cancer.

    abstract：BACKGROUND:Many primary care physicians (PCPs) are ill-equipped to provide screening and counseling for inherited breast cancer. OBJECTIVE:To evaluate the outcomes of an interactive web-based genetics curriculum versus text curriculum for primary care physicians. DESIGN:Randomized two-group design. PARTICIPANTS:121 ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s11606-014-3113-5

    authors： Bell RA,McDermott H,Fancher TL,Green MJ,Day FC,Wilkes MS

    更新日期：2015-03-01 00:00:00

  • A comparison of physicians' and patients' attitudes toward pharmaceutical industry gifts.

    abstract：OBJECTIVE:To compare physicians' and their patients' attitudes toward pharmaceutical gifts. DESIGN:Survey of physicians and their patients. SETTING:Two tertiary-care medical centers, one military and one civilian. PARTICIPANTS:Two hundred sixty-eight of 392 consecutively surveyed physicians, 100 of 103 randomly sele...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1046/j.1525-1497.1998.00048.x

    authors： Gibbons RV,Landry FJ,Blouch DL,Jones DL,Williams FK,Lucey CR,Kroenke K

    更新日期：1998-03-01 00:00:00

  • Effect of part-time practice on patient outcomes.

    abstract：BACKGROUND:Primary care physicians are spending fewer hours in direct patient care, yet it is not known whether reduced hours are associated with differences in patient outcomes. OBJECTIVE:To determine whether patient outcomes vary with physicians' clinic hours. DESIGN:Cross-sectional retrospective design assessing p...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1046/j.1525-1497.2003.20401.x

    authors： Parkerton PH,Wagner EH,Smith DG,Straley HL

    更新日期：2003-09-01 00:00:00

  • Self-referral for screening mammography.

    abstract：:Patients can obtain screening mammograms without a physician's referral, leading to potential problems in clinical care. Because of the complexity of self-referral and the limitations of prior studies, we examined this phenomenon in a representative sample of mammography facilities. A questionnaire was given to all wo...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1046/j.1525-1497.1998.00209.x

    authors： Suter LG,Elmore JG

    更新日期：1998-10-01 00:00:00

  • Time Pressure During Primary Care Office Visits: a Prospective Evaluation of Data from the Healthy Work Place Study.

    abstract：BACKGROUND:The relationship between worklife factors, clinician outcomes, and time pressure during office visits is unclear. OBJECTIVE:To quantify associations between time pressure, workplace characteristics ,and clinician outcomes. DESIGN:Prospective analysis of data from the Healthy Work Place randomized trial. P...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-019-05343-6

    authors： Prasad K,Poplau S,Brown R,Yale S,Grossman E,Varkey AB,Williams E,Neprash H,Linzer M,Healthy Work Place (HWP) Investigators.

    更新日期：2020-02-01 00:00:00

  • Shared medical appointments for patients with diabetes mellitus: a systematic review.

    abstract：OBJECTIVES:Shared medical appointments (SMAs) are an increasingly used system-redesign strategy for improving access to and quality of chronic illness care. We conducted a systematic review of the existing literature on SMA interventions for patients with diabetes in order to understand their impact on outcomes. DATA ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s11606-014-2978-7

    authors： Edelman D,Gierisch JM,McDuffie JR,Oddone E,Williams JW Jr

    更新日期：2015-01-01 00:00:00

  • Cultivating Medical Education Research Mentorship as a Pathway Towards High Quality Medical Education Research.

    abstract：:The lack of effective and consistent research mentorship and research mentor training in both undergraduate medical education (UME) and graduate medical education (GME) is a critical constraint on the development of innovative and high quality medical education research. Clinical research mentors are often not familia...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-015-3295-5

    authors： Blanchard RD,Visintainer PF,La Rochelle J

    更新日期：2015-09-01 00:00:00

  • Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference.

    abstract：BACKGROUND:Inadequate pain assessment is a barrier to appropriate pain management, but single-item "pain screening" provides limited information about chronic pain. Multidimensional pain measures such as the Brief Pain Inventory (BPI) are widely used in pain specialty and research settings, but are impractical for prim...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-009-0981-1

    authors： Krebs EE,Lorenz KA,Bair MJ,Damush TM,Wu J,Sutherland JM,Asch SM,Kroenke K

    更新日期：2009-06-01 00:00:00

  • Training generalist physicians: structural elements of the curriculum.

    abstract：:To train more generalist physicians, structural changes must be made along the continuum of medical education. Future generalists require in-depth exposure to primary care practice, with substantive experience in the longitudinal management of patient panels and the opportunity to work with successful generalist role ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/BF02598115

    authors： Burke W,Baron RB,Lemon M,Losh D,Novack A

    更新日期：1994-04-01 00:00:00

  • Medical patients' assessments of their care during hospitalization: insights for internists.

    abstract：OBJECTIVE:To assess, from the patient's perspective, selected aspects of the quality of inpatient hospital care in the United States. DESIGN:A cross-sectional survey, using telephone interviews of patients discharged from the medical services of a probability sample of 62 public and private, nonprofit, nonfederal acut...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/BF02602763

    authors： Delbanco TL,Stokes DM,Cleary PD,Edgman-Levitan S,Walker JD,Gerteis M,Daley J

    更新日期：1995-12-01 00:00:00

  • The long-term health outcomes of childhood abuse. An overview and a call to action.

    abstract：:While the association between abuse in childhood and adverse adult health outcomes is well established, this link is infrequently acknowledged in the general medical literature. This paper has 2 purposes: (1) to provide a broad overview of the research on the long-term effects of child abuse on mental and physical hea...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1046/j.1525-1497.2003.20918.x

    authors： Springer KW,Sheridan J,Kuo D,Carnes M

    更新日期：2003-10-01 00:00:00

  • Differences in the quality of the patient-physician relationship among terminally ill African-American and white patients: impact on advance care planning and treatment preferences.

    abstract：BACKGROUND:Little is known about the quality of the patient-physician relationship for terminally ill African Americans. OBJECTIVE:To compare the quality of the patient-physician relationship between African-American and white patients and examine the extent to which relationship quality contributes to differences in ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-007-0370-6

    authors： Smith AK,Davis RB,Krakauer EL

    更新日期：2007-11-01 00:00:00

  • The Importance of Addressing Depression and Diabetes Distress in Adults with Type 2 Diabetes.

    abstract：:People with type 2 diabetes often experience two common mental health conditions: depression and diabetes distress. Both increase a patient's risk for mortality, poor disease management, diabetes-related complications, and poor quality of life. The American Diabetes Association and the U.S. Preventive Services Task Fo...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s11606-018-4705-2

    authors： Owens-Gary MD,Zhang X,Jawanda S,Bullard KM,Allweiss P,Smith BD

    更新日期：2019-02-01 00:00:00

  • Cue-dose training with monetary reinforcement: pilot study of an antiretroviral adherence intervention.

    abstract：OBJECTIVE:To assess the feasibility and efficacy of two interventions for improving adherence to antiretroviral therapy regimens in HIV-infected subjects compared with a control intervention. DESIGN:Randomized, controlled, pilot study. SETTING:Department of Veterans Affairs HIV clinic and community-based HIV clinical...

    journal_title：Journal of general internal medicine

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1046/j.1525-1497.2000.00127.x

    authors： Rigsby MO,Rosen MI,Beauvais JE,Cramer JA,Rainey PM,O'Malley SS,Dieckhaus KD,Rounsaville BJ

    更新日期：2000-12-01 00:00:00

  • Linking Physical and Mental Health Summary Scores from the Veterans RAND 12-Item Health Survey (VR-12) to the PROMIS(®) Global Health Scale.

    abstract：BACKGROUND:Global health measures represent an attractive option for researchers and clinicians seeking a brief snapshot of a patient's overall perspective on his or her health. Because scores on different global health measures are not comparable, comparative effectiveness research (CER) is challenging. OBJECTIVE:To ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-015-3453-9

    authors： Schalet BD,Rothrock NE,Hays RD,Kazis LE,Cook KF,Rutsohn JP,Cella D

    更新日期：2015-10-01 00:00:00

  • Defining the Resident Continuity Clinic Panel Along Patient Outcomes: a Health Equity Opportunity.

    abstract：BACKGROUND:Continuity clinics are a critical component of outpatient internal medicine training. Little is known about the population of patients cared for by residents and how these physicians perform. OBJECTIVES:To compare resident and faculty performance on standard population health measures. To identify potential...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-020-06420-x

    authors： Amat M,Glassman R,Basu N,Doolin J,Flier L,Gonzalez MR,Gosselin J,Knapp S,Yun P,Graham KL

    更新日期：2021-01-21 00:00:00

  • Health Literacy and Shared Decision-making: Exploring the Relationship to Enable Meaningful Patient Engagement in Healthcare.

    abstract：:Research into health literacy and shared decision-making has largely developed along parallel, but distinct lines over the past two decades. There is little evidence that the concepts and related practice have intersected except in the most functional way, for example, to simplify shared decision-making tools by impro...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-020-05912-0

    authors： Muscat DM,Shepherd HL,Nutbeam D,Trevena L,McCaffery KJ

    更新日期：2020-05-29 00:00:00

  • Depression and suicidal behaviors in Medicare primary care patients under age 65.

    abstract：OBJECTIVE:To examine suicidal behavior and depression prevalence among a group of Medicare patients under age 65 with functional impairment and recent significant health care services use. DESIGN:An observational study of baseline characteristics of participants in a randomized controlled trial. SETTING:A Medicare de...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1525-1497.2005.40244.x

    authors： Friedman B,Conwell Y,Delavan RR,Wamsley BR,Eggert GM

    更新日期：2005-05-01 00:00:00