MINORITY PREDOCTORAL FELLOWSHIP PROGRAM

少数族裔博士前奖学金计划

• 批准号: 6892750
• 负责人: SHIVONNE L LAIRD
• 金额: $ 4.35万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-01-01 至 2007-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6892750
• 关键词: African American; Medicare /Medicaid; audiotape; behavioral /social science research tag; caucasian American; communication behavior; data collection methodology /evaluation; health behavior; health care quality; health care service evaluation; health disparity; health insurance; health services research tag; human data; language; low socioeconomic status; medically underserved population; multilingualism; outcomes research; patient care personnel attitude; patient care personnel relations; physicians; predoctoral investigator; questionnaires; racial /ethnic difference; statistics /biometry

DESCRIPTION (provided by applicant): This research proposal attempts to answer the following questions: 1) Can a measure of language fluency/discordance be developed to capture communication behaviors used by foreign-born IMG physicians that are predictive of patient outcomes? 2) Are there differences in the communication behaviors of foreign-born IMG physicians and USMG physicians with ethnic minority, low income, and Medicaid versus white, higher income, and privately insured patients? 3) Does language fluency discordance (defined by primary language spoken at home and/or a new measure) between physicians and patients explain racial and ethnic disparities in patient ratings of care and health status? Research methods focus on secondary data analysis of 1) audiotapes of primary care medical visits and 2) data from patient and physician questionnaires collected proximal to time of audio taping visits. Information gained from this work may help to inform the development of medical education and health care system interventions targeting physicians who are foreign-born and international medical graduates and the patient populations they serve, to improve quality of care and health outcomes for minority and low SES patients.

描述（由申请人提供）：本研究计划试图回答以下问题：1）是否可以开发一种语言流畅性/不一致的衡量标准来捕获外国出生的 IMG 医生所使用的可预测患者结果的沟通行为？ 2) 外国出生的 IMG 医生和 USMG 医生与少数族裔、低收入和医疗补助患者与白人、高收入和私人保险患者的沟通行为是否存在差异？ 3) 医生和患者之间的语言流利程度不一致（由在家中使用的主要语言和/或新的衡量标准定义）是否可以解释患者对护理和健康状况评分的种族和民族差异？研究方法侧重于 1) 初级保健就诊录音带和 2) 在录音就诊时间附近收集的患者和医生问卷数据的二次数据分析。从这项工作中获得的信息可能有助于为外国出生的医生和国际医学毕业生及其所服务的患者群体制定医学教育和医疗保健系统干预措施提供信息，以提高少数族裔和低社会经济地位的医疗质量和健康结果患者。