...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of the Medical Association of Thailand =: Chotmaihet thangphaet >Shared decision-making and parental experiences with health services to meet their child's special health care needs: Racial and ethnic disparities
【24h】

Shared decision-making and parental experiences with health services to meet their child's special health care needs: Racial and ethnic disparities

机译：与健康服务的共享决策和父母经验，以满足其孩子的特殊医疗保健需求：种族和民族差异

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

? 2018 Elsevier B.V. ? 2018 Elsevier B.V. Objectives: Test the relationship between shared decision-making (SDM) and parental report of frustration with efforts to get services for their child and to address unmet health needs; assess SDM's influence on minority parents’ service experiences. Methods: Performed secondary analysis using the 2009–2010 National Survey of Children with Special Health Care Needs (n = 40,242). Used multivariate logistic regressions to test the association between SDM and parent-reported service experiences, and whether SDM influenced the association between minorities and negative service experiences. Propensity scores accounted for observed selection bias. Results: Families engaged in SDM had lower odds of reporting service dissatisfaction. Fewer minority parents reported SDM engagement compared with Whites (between 62% and 66% versus 74%). Blacks engaged in SDM had higher odds of reporting negative service experiences compared with SDM-engaged Whites. This disparity was no longer significant after adjusting for covariates. Conclusion: SDM is associated with lower reports of parental service dissatisfaction. Stratified analyses showed that SDM seems to be experienced differently across minority groups. Practice implications: SDM may be a promising engagement strategy to improve parental service experiences. The role of SDM on increasing Black parents’ reports of service dissatisfaction, perhaps due to increased awareness of service challenges, should be investigated. Objectives: Test the relationship between shared decision-making (SDM) and parental report of frustration with efforts to get services for their child and to address unmet health needs; assess SDM's influence on minority parents’ service experiences. Methods: Performed secondary analysis using the 2009–2010 National Survey of Children with Special Health Care Needs (n = 40,242). Used multivariate logistic regressions to test the association between SDM and parent-reported service experiences, and whether SDM influenced the association between minorities and negative service experiences. Propensity scores accounted for observed selection bias. Results: Families engaged in SDM had lower odds of reporting service dissatisfaction. Fewer minority parents reported SDM engagement compared with Whites (between 62% and 66% versus 74%). Blacks engaged in SDM had higher odds of reporting negative service experiences compared with SDM-engaged Whites. This disparity was no longer significant after adjusting for covariates. Conclusion: SDM is associated with lower reports of parental service dissatisfaction. Stratified analyses showed that SDM seems to be experienced differently across minority groups. Practice implications: SDM may be a promising engagement strategy to improve parental service experiences. The role of SDM on increasing Black parents’ reports of service dissatisfaction, perhaps due to increased awareness of service challenges, should be investigated.
机译：还2018年elestvier b.v.？ 2018年Elsevier B.V.目标：测试共同决策（SDM）与怨恨的父母报告与努力为其儿童提供服务，并满足未满足的健康需求;评估SDM对少数民族父母服务经验的影响。方法：采用2009 - 2010年对具有特殊医疗保健需求的儿童调查进行二次分析（n = 40,242）。使用多变量逻辑回归来测试SDM和父报告的服务经验之间的关联，以及SDM是否影响了少数群体和负面服务经验之间的关联。倾向分数占观察到的选择偏差。结果：从事SDM的家庭略有报告服务不满。少数民族父母报告的少数民族父母与白人相比报告了SDM参与（62％和66％，而74％）。与SDM啮合的白人相比，从事SDM的黑人有可能报告负面服务经验的几率。调整协变量后，这种差异不再重要。结论：SDM与父母服务不满的较低报告有关。分层分析表明，SDM似乎在少数群体中经历不同。实践意义：SDM可能是提高父母服务经验的有希望的参与策略。 SDM在增加黑人父母对服务不满的报告中的作用，也许是由于提高服务挑战的认识，应当提高。目标：测试共同决策（SDM）与怨恨的父母报告，努力为其孩子提供服务，并解决未满足的健康需求;评估SDM对少数民族父母服务经验的影响。方法：采用2009 - 2010年对具有特殊医疗保健需求的儿童调查进行二次分析（n = 40,242）。使用多变量逻辑回归来测试SDM和父报告的服务经验之间的关联，以及SDM是否影响了少数群体和负面服务经验之间的关联。倾向分数占观察到的选择偏差。结果：从事SDM的家庭略有报告服务不满。少数民族父母报告的少数民族父母与白人相比报告了SDM参与（62％和66％，而74％）。与SDM啮合的白人相比，从事SDM的黑人有可能报告负面服务经验的几率。调整协变量后，这种差异不再重要。结论：SDM与父母服务不满的较低报告有关。分层分析表明，SDM似乎在少数群体中经历不同。实践意义：SDM可能是提高父母服务经验的有希望的参与策略。 SDM在增加黑人父母对服务不满的报告中的作用，也许是由于提高服务挑战的认识，应当提高。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号