Exploring Racial Differences in Communication

探索沟通中的种族差异

• 批准号: 7151415
• 负责人: PAMELA L HUDAK
• 金额: $ 10万
• 依托单位: NATIONAL OPINION RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-06-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7151415
• 关键词: African American; audiotape; behavioral /social science research tag; caucasian American; clinical research; communication behavior; health care quality; health disparity; health services research tag; human data; human old age (65+); orthopedics; patient care personnel relations; patient oriented research; questionnaires; racial /ethnic difference

DESCRIPTION (PROVIDED BY APPLICANT): The Institute of Medicine and the Agency for Healthcare Research and Quality (AHRQ) have highlighted the major disparities in health care based on race. Racial disparities exist for many medical conditions, including those requiring orthopedic surgery procedures. Although the etiology of health disparities is complex, communication between health care providers and patients may play an important role. Because differences in the rates of surgical procedures, such as those in orthopedic surgery, are large, understanding racial differences in communication in surgical settings is critical. Thus, the specific aim of this study is to explore racial differences in communication between African American and White American patients and orthopedic surgeons using analysis of audiotaped office visits. An existing dataset of questionnaires and audiotaped office visits between orthopedic surgeons practicing in the Chicago area and their patients who are 60 years or older will be used. The specific sample for this study will include 30 African American (AA) and 29 White patients, matched for socioeconomic status and gender, who are all considering a complex surgical procedure. A qualitative descriptive approach (conversation analysis) will be used to explore patterns of communication. Similarities and differences based on race will be identified. Results of this work will be synthesized and disseminated to the American Academy of Orthopedic Surgeons (AAOS). This AAOS will work with the investigators to determine the appropriate forums for dissemination of the work to practicing orthopedic surgeons, including written publications and presentation at the National meeting. This work has the potential to advance understanding of racial disparities by direct observation of communication in real world encounters in surgery, where disparities in procedures are apparent. The results will form the base for educational efforts with the AAOS and for broader investigations of racial disparities in surgery.

描述（由申请人提供）：医学研究所和医疗保健研究与质量机构（AHRQ）强调了基于种族的医疗保健的主要差异。种族差异存在许多医疗状况，包括需要骨科手术程序的差异。尽管健康差异的病因很复杂，但医疗保健提供者和患者之间的沟通可能发挥重要作用。由于外科手术率的差异（例如骨科手术中的差异）很大，因此了解手术环境中的种族差异至关重要。因此，这项研究的具体目的是探索非洲裔美国人和白人患者和骨科医生之间在录音室就诊中进行沟通的种族差异。 将使用芝加哥地区的骨科外科医生及其60岁以上的患者之间的问卷调查和录音表的现有数据集。这项研究的具体样本将包括30名非裔美国人（AA）和29名白人患者，符合社会经济状况和性别，他们都在考虑采用复杂的手术程序。定性描述方法（对话分析）将用于探索交流模式。将确定基于种族的相似性和差异。这项工作的结果将被合成并传播到美国骨科医生学院（AAOS）。该AAO将与调查人员合作，确定适当的论坛将工作传播给执业骨科医生，包括书面出版物和全国会议上的演讲。这项工作有可能通过直接观察手术现实世界中的沟通来提高对种族差异的理解，在手术中，手术差异显而易见。结果将构成与AAO的教育努力的基础，并更广泛地研究手术中的种族差异。