Arid
Do You Speak "Doctor"? A Communication Skills Training Tool For Hispanic Patients
Hernandez-Martinez;Ana Celia
出版年2015
学位授予单位The University of Arizona.
英文摘要Effective doctor-patient communication is critical to improving health outcomes. Good communication improves emotional health, symptom resolution, functional and physiologic status, and pain control. Conversely, ineffective communication leads to misdiagnosis, inappropriate treatment poor adherence, misuse of health services, and high patient stress. In the U.S., Hispanics are the fastest growing minority. Despite the high burden of illness among this population, Hispanics are less likely than other minorities to regularly see a health professional. This is explained in part because Hispanics navigate a health system designed for the majority, experience a mismatch between cultural values and health beliefs, and have limited English proficiency. These communication challenges contribute to health disparities among the Hispanic population living in the U.S. Despite the importance of doctor-patient communication, few communication interventions that focus on improving patient skills have been tested in this population. Therefore, the purpose of this study was to evaluate whether a patient communication intervention tailored for female Hispanic patients could be practically implemented in a practice setting. The first aim focused on adapting existing communication skills training tools for a Hispanic population. The second aim assessed the feasibility of implementing the training tool in a federally qualified health center in a US-Mexico border community. The third aim explored the extent to which trained patients were able to integrate the information provided. Results indicate that it is feasible to implement communication training when delivered by clinical staff. Patient follow-up revealed that patients valued training on how to communicate with their doctor the most. Moreover, it is feasible to sustain the intervention when it is aligned with the priorities of the clinical site. Patient communication training in medically underserved rural areas could improve barriers to improved health outcomes in communities with a high prevalence of Hispanic patients. Future funding is needed to further test, dissemination of communication training programs.
英文关键词Hispanic Females Patient Communication Skills Training Rural Area US-Mexico Border Public Health Doctor-patient Communication
语种英语
URLhttp://hdl.handle.net/10150/556442
资源类型学位论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/249591
推荐引用方式
GB/T 7714
Hernandez-Martinez;Ana Celia. Do You Speak "Doctor"? A Communication Skills Training Tool For Hispanic Patients[D]. The University of Arizona.,2015.
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