Medical encounter最新文献

{"title":"The Language Abilities of Resident Physicians.","authors":"Lourdes R Guerrero,&nbsp;Leo S Morales,&nbsp;Gerardo Moreno","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The Joint Commission mandates that health care systems provide culturally and linguistically appropriate care for patients. Similarly, the Accreditation Council for Graduate Medical Education (ACGME) requires that resident physicians learn to communicate effectively across cultures. The purpose of this study was to analyze residents' self-report of fluency in a second language and level of training in the use of interpreters to assess the institution's preparation of residents to meet mandates regarding the delivery of cross-cultural care.</p><p><strong>Methods: </strong>Seven hundred and twenty two (722) surveys were analyzed from resident physicians in 62 different ACGME accredited programs. Language ability was measured with a survey question asking about comfort providing patient care in a language other than English. Knowledge of working with interpreters was measured by a survey question asking about amount of training received. Survey questions on gender, post-graduate year (PGY), specialty, and underrepresented minority (URM) status were examined using c2 and independent samples Mann-Whitney U test. Logistic regression was used to estimate the adjusted odds ratio by variable.</p><p><strong>Results: </strong>Fifty-five percent of all of the resident physicians endorsed feeling comfortable providing patient care in a language other than English, and Spanish was the most common language (77%). Almost 20% percent of residents reported little or no training in the use of interpreters. In bivariate analysis, race-ethnicity was associated (P-value <.001) with comfort in providing patient care in a language other than English. Primary care resident physicians had a 1.67 adjusted odds ratio (95% confidence interval [CI] 1.18, 2.37; p value = 0.004) of feeling comfortable providing patient care in a language other than English compared to resident physicians from other specialties.</p><p><strong>Conclusions: </strong>Primary care resident physicians are more likely to report feeling comfortable in providing patient care in a language other than English. Most residents would benefit from additional education in working with interpreters.</p>","PeriodicalId":90646,"journal":{"name":"Medical encounter","volume":"27 2","pages":"160-163"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581444/pdf/nihms722282.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34040100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Patient Adherence: Promoting Engagement via Positive Patient-Provider Relationships in HIV/AIDS Care.","authors":"Leah Farrell,&nbsp;Karen Ingersoll,&nbsp;Sherry Dyche Ceperich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The face of HIV/AIDS has shifted. Traditionally disenfranchised groups including African Americans and those known to be current or past substance-users are disproportionately infected and affected by the domestic HIV/AIDS epidemic. While caring for all people living with HIV/AIDS (PLWHA) is a public health priority, there are vast disparities in HIV/AIDS care and outcomes linked to treatment engagement and medication adherence. Historically, providers and researchers have focused heavily on seeking effective interventions to promote medication adherence among patients engaged in care. After having modest success when concentrating solely on outcomes pertaining to medication adherence (i.e., medication taking), the definition of adherence is broadening. Adherence to medications is now thought to occur along a continuum of engagement in care with regard to chronic illnesses such as HIV/AIDS. Patient-provider communication styles that are consistent with a motivational interviewing (MI) style are useful in enhancing active engagement in care, with potential to promote better medication adherence. Positive patient-provider relationships may be conduits for positive changes in vulnerable patients' lives. Positive changes in individual patients' lives culminate to reduce disparities in health status between PLWHA on a population level.</p>","PeriodicalId":90646,"journal":{"name":"Medical encounter","volume":"23 2","pages":"69-71"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4285710/pdf/nihms635349.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32968948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}