Titre :
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Perceptions of medical interactions between healthcare providers and American Indian older adults. (2008)
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Auteurs :
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Eva-Marie GARROUTTE ;
BEALS (Janette) : USA. University of Colorado. Denver Health Sciences Center. Denver. CO. ;
Dedra BUCHWALD ;
Jack Goldberg ;
Natalia SARKISIAN ;
Department of Sociology. Boston College. Chestnut Hill. MA. USA ;
University of Washington. WA. USA
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 67, n° 4, 2008)
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Pagination :
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546-556
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Langues:
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Anglais
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Mots-clés :
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Profession santé
;
Ethnie
;
Personne âgée
;
Relation médecin malade
;
Communication
;
Race
;
Identité sociale
;
Homme
;
Amérique
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS kEkR0xlk. Diffusion soumise à autorisation]. Cultural competence models assume that culture affects medical encounters, yet little research uses objective measures to examine how this may be true. Do providers and racial/ethnic minority patients interpret the same interactions similarly or differently ? How might patterns of provider-patient concordance and discordance vary for patients with different cultural characteristics ? We collected survey data from 115 medical visits with American Indian older adults at a clinic operated by the Cherokee Nation (in Northeastern Oklahoma, USA), asking providers and patients to evaluate nine affective and instrumental interactions. Examining data from the full sample, we found that provider and patient ratings were significantly discordant for all interactions (Wilcoxon signed-rank test p
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