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Stepanikova I Mollborn S Cook KS Thom DH Kramer RM 《Journal of health and social behavior》2006,47(4):390-405
We examine whether racial/ethnic/language-based variation in measured levels of patients' trust in a physician depends on the survey items used to measure that trust. Survey items include: (1) a direct measure of patients' trust that the doctor will put the patient's medical needs above all other considerations, and (2) three indirect measures of trust asking about expectations for specific physician behaviors, including referring to a specialist, being influenced by insurance rules, and performing unnecessary tests. Using a national survey, we find lower scores on indirect measures of trust in a physician among minority users of health care services than among non-Hispanic white users. In contrast, the direct measure of trust does not differ among non-Hispanic whites and nonwhites once we control for potential confounding factors. The results indicate that racial/ethnic/language-based differences exist primarily in those aspects of patients' trust in a physician that reflect specific physician behaviors. 相似文献
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Bianca Mitrică Irena Mocanu Monica Dumitraşcu Ines Grigorescu 《Social indicators research》2017,134(3):899-916
The Romanian border areas include 898 Local Administrative Units 2 (LAU2), of which 88 are urban and 810 rural. Romania has borderline with the following countries: Bulgaria, Republic of Moldova, Serbia, Ukraine, Hungary, of which 63.5 % is Non-European Union boundary. According to the population structure, 51.6 % of the total population is urban and the rest of 48.4 % is rural. In order to assess the socio-economic territorial disparities in the development of the urban space of Romanian border areas, several research stages were carried out: selecting 22 relevant statistical indicators, analyzing territorial disparities, standardizing the absolute values of the indicators, grouping the elementary indicators by 7 multiple indicator clusters (secondary indexes) in order to reflect the main socio-economic development aspects: (1) housing, (2) public utilities infrastructure and green areas, (3) health, (4) labour market, (5) demography, (6) education and (7) local economy. Finally, the authors were able to compute secondary indexes and the Index of Socio-Economic Development as Hull Score with a mean of 50 and a standard deviation of 14, revealing the levels of socio-economic development (high, average and low). Generally, the outcomes of the current study are in line with Romania’s complex socio-economic disparities, rooted in the historic background of the country. Spatially, the economic development follows a West–East direction, the less developed areas being concentrated in the Eastern and Southern part of the country. 相似文献
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The media are a main source of information about mental health for many people, and an ever‐growing body of literature is evaluating their coverage of the topic. To help keep track of such research, several comprehensive but now dated literature reviews have been published. We assess more recent studies (2007–2017) and suggest future directions by integrating (a) the “circuit of mass communication” model from media and communication studies which posits that production, content, and reception need to be analysed for an in‐depth understanding of the media, (b) the holistic view of mental health as comprising both illness and wellbeing, and (3) the critical psychiatry literature questioning the assumptions underlying psychiatric knowledge and practice. We find that recent studies have focused on content and “the illness side” of mental health by examining the representation of particular mental disorders and events involving individuals with specific diagnoses. We identify as a promising development the growing interest in “the wellbeing side” of mental health whereby authors have started to analyse recovery messages. We invite more production and reception research and more critical content studies which use diagnostic labels cautiously and analyse the representation of people with mental health problems as the victims of violence. 相似文献
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I Stepanikova 《Journal of health and social behavior》2012,53(3):329-343
This study examined two types of potential sources of racial-ethnic disparities in medical care: implicit biases and time pressure. Eighty-one family physicians and general internists responded to a case vignette describing a patient with chest pain. Time pressure was manipulated experimentally. Under high time pressure, but not under low time pressure, implicit biases regarding blacks and Hispanics led to a less serious diagnosis. In addition, implicit biases regarding blacks led to a lower likelihood of a referral to specialist when physicians were under high time pressure. The results suggest that when physicians face stress, their implicit biases may shape medical decisions in ways that disadvantage minority patients. 相似文献
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Noah Lewin‐Epstein Moshe Semyonov Irena Kogan Richard A. Wanner 《The International migration review》2003,37(2):389-420
The present study focuses on the incorporation of immigrants from the former Soviet Union in two receiving societies, Israel and Canada, during the first half of the 1990s. Both countries conducted national censuses in 1995 (Israel) and 1996 (Canada), making it possible to identify a large enough sample of immigrants and provide information on their demographic characteristics and their labor market activity. While both Canada and Israel are immigrant societies, their institutional contexts of immigrant reception differ considerably. Israel maintains no economic selection of the Jewish immigrants and provides substantial support for newcomers, who are viewed as a returning Diaspora. Canada employs multiple criteria for selecting immigrants, and the immigrants' social and economic incorporation is patterned primarily by market forces. The analysis first examines the characteristics of immigrants who arrived in the two countries and evaluates the extent of selectivity. Consistent with our hypotheses, Russian immigrants to Canada were more immediately suitable for the labor market, but experienced greater difficulty finding and maintaining employment. Nevertheless, immigrants to Canada attained higher‐status occupations and higher earnings than their compatriots in Israel did, although the Israeli labor market was more likely to reward their investments in education. 相似文献
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This paper describes the use of and reasons why reconstructed stories were used as a method of presenting and validating the findings from the interview data with visually impaired people obtained from Enfield Vision Research Project, into the needs of visually impaired people resident in the London Borough of Enfield. In order to present and validate the findings of the first 20 interviews the researchers organised a group respondent validation event. The researchers orally presented the findings in the form of reconstructed stories. These stories encompassed a number of themes and sub-themes that had emerged from the analysis. The attendees were separated into two groups to discuss the stories. Thirty-seven of the 90 visually impaired research participants attended the event. The research participants felt that the stories were an effective method in presenting and communicating the research findings. They also confirmed the credibility of the findings, and thereby dependability and confirmability were also achieved. The use of reconstructed stories is a novel, user friendly and effective method of presenting and validating qualitative research data, and is particularly suitable method when the respondents have visual difficulties. 相似文献
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Irena R. Makaryk 《Canadian Slavonic papers》2015,57(1-2):163-165
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This paper reports results of an experiment on the relationship between whites’ implicit racial bias and prosocial behavior toward blacks. We hypothesized that implicit anti-black bias would lead to less prosocial behavior (generosity with limited monetary resources). Consistent with our hypothesis, the results revealed that implicit anti-black bias, measured by the Implicit Association Test, had a negative effect on generosity toward blacks. This finding extends prior work by showing that implicit racial bias affects non-hypothetical decisions about how to allocate limited monetary resources. We conclude with a discussion of implications and suggestions for future work. 相似文献