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首页> 外文期刊>Journal of health communication >Perceived colonoscopy barriers and facilitators among urban african american patients and their medical residents
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Perceived colonoscopy barriers and facilitators among urban african american patients and their medical residents

机译：城市非裔美国人患者及其医疗居民中结肠镜检查的障碍和促进者

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African Americans suffer from higher colorectal cancer morbidity and mortality than do Whites, yet have the lowest screening rates. To understand barriers and facilitators to colorectal cancer screening, this study used perceptual mapping (multidimensional scaling) methods to compare patients' perceptions of colonoscopy and general preventive health practices to those of their doctors in a general internal medicine clinic in a large urban hospital. African American patients (n = 102) were surveyed about their own screening beliefs; third-year resident physicians (n = 29) were asked what they perceived their patients believed. The perceptual maps showed significant differences between the patients' and physicians' perceptions of barriers, facilitators, and beliefs about screening. Physicians believed logistical lifestyle issues were the greatest screening barriers for their patients whereas fears of complications, pain, and cancer were the most important barriers perceived by patients. Physicians also underestimated patients' understanding of the benefits and importance of screening, doctors' recommendations, and beliefs that faith in God could facilitate screening. Physicians and patients perceived a doctor's recommendation for screening was an important facilitator. Better understanding of patient perceptions can be used to improve doctor-patient communication and to improve medical resident training by incorporating specific messages tailored for use with African American patients.
机译：与白人相比，非裔美国人患结肠直肠癌的几率和死亡率更高，但筛查率最低。为了了解结肠直肠癌筛查的障碍和促进因素，本研究使用知觉映射（多维标度）方法将患者对结肠镜检查和一般预防性健康实践的看法与在大型城市医院的普通内科诊所的医生的看法进行比较。对非裔美国人患者（n = 102）进行了调查，了解他们自己的筛查信念。被问及三年级住院医师（n = 29）时，他们认为患者相信什么。知觉图显示了患者和医师对障碍，促进者和对筛查的看法之间的显着差异。医生认为后勤生活方式问题是对其患者的最大筛查障碍，而对并发症，疼痛和癌症的恐惧则是患者感知的最重要障碍。医生还低估了患者对筛查的益处和重要性的理解，医生的建议以及对上帝的信仰可以促进筛查的信念。医师和患者认为医生的筛查建议是重要的促进因素。通过结合为非裔美国人患者量身定制的特定信息，可以更好地理解患者的感受，从而改善医患沟通并改善住院医师培训。

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