黑人围产期患者的医患沟通：一项系统综述。

IF 3.2 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health Pub Date : 2025-03-11 DOI:10.1007/s00737-025-01574-1

Zoe T Duberstein, Keisha Bell, Ellen Poleshuck, Molly S Arnold, Susan H McDaniel, Amina P Alio, Nicholas Dapshi, Thomas G O'Connor

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引用次数: 0

摘要

目的：黑人围产期人在美国是不成比例的影响发病率和死亡率。一种新出现的假设是，这些差异可能部分是由于产科护理沟通不良，这可能导致围产期护理质量差和不良的健康结果。本综述的目的是提供一个系统的文献回顾患者-临床沟通在围产期卫生保健设置黑人患者。方法：通过PubMed、PsycINFO和Web of Science检索2006年1月至2024年12月间发表的研究。按照PRISMA指南提取相关文章，综合研究方法和结果。结果：共有11项定性研究和18项定量研究符合纳入标准。总的来说，研究结果显示了黑人患者报告的歧视、被排除在决策之外、被临床医生忽视的可靠证据。我们讨论了方法上的局限性，并提出了改进建议。结论：本综述的结果可以为围产期临床医生与黑人患者之间的沟通质量提供干预措施，以改善发病率和死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Patient-clinician communication amongst black perinatal people: a systematic review.

Purpose: Black perinatal people in the United States are disproportionately affected by morbidity and mortality. An emerging hypothesis is that these disparities may be in part due to poor communication in obstetric care which may lead to poor perinatal care quality and adverse health outcomes. The purpose of this review is to provide a systematic review of the literature on patient-clinician communication amongst Black patients in perinatal healthcare settings.

Methods: A literature search was conducted for studies published between January 2006 to December 2024 using PubMed, PsycINFO, and Web of Science. PRISMA guidelines were followed to extract relevant articles and study methodologies and results were synthesized.

Results: A total of 11 qualitative and 18 quantitative studies met inclusion criteria. Overall, findings indicate reliable evidence of Black patients' reports of discrimination, being left out of decision-making, and being ignored by their clinicians. We discuss methodological limitations of the work and suggest improvements.

Conclusion: The results of this review may inform interventions to target the quality of communication between perinatal clinicians and their Black patients to improve morbidity and mortality outcomes.

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.