MINORITY PREDOCTORAL FELLOWSHIP PROGRAM

少数族裔博士前奖学金计划

• 批准号: 7011135
• 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/7011135
• 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）：本研究提案试图回答以下问题：1）是否可以开发出一种语言流利性/不一致的量度来捕获外国出生的IMG医生使用的沟通行为，以预测患者的结果？ 2）外国出生的IMG医生和USMG医生的沟通行为是否存在差异，少数族裔，低收入，医疗补助与白人，收入更高和私人保险患者？ 3）医生和患者之间的语言流利性不一致（由家庭和/或新措施所说的新措施定义）是否可以解释患者护理和健康状况评级的种族和种族差异？研究方法的重点是对1）初级保健医疗访问的录音以及2）来自患者和医师问卷的数据收集到录音时间的时间。从这项工作中获得的信息可能有助于告知针对外国出生和国际医学毕业生的医生以及他们所服务的患者的医生的开发，以改善少数民族和低SES患者的护理质量和健康成果。