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Erschienen in: Journal of Immigrant and Minority Health 3/2013

01.06.2013 | Original Paper

Differences in Patient-Reported Experiences of Care by Race and Acculturation Status

verfasst von: Memoona Hasnain, Alan Schwartz, Jorge Girotti, Angela Bixby, Luis Rivera, and the UIC Experiences of Care Project Group

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 3/2013

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Abstract

Patient-reported experiences of care are an important focus in health disparities research. This study explored the association of patient-reported experiences of care with race and acculturation status in a primary care setting. 881 adult patients (African-American 34 %; Hispanic—classified as unacculturated or biculturated—31 %; Caucasian 33 %; missing race 2 %), in outpatient Family Medicine clinics, completed a written survey in Spanish or English. Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician & Group (CAG) Survey Adult Primary Care instrument was used for experiences of care and Short Form-12 survey for health status. Controlling for other variables, race and acculturation were significantly associated with several CAG subscales. Hispanic patients gave significantly higher ratings for care experiences and expressed greater interest in shared decision making. Selected patient-reported measures of care are associated with patients’ race and acculturation status (for Hispanic patients). We discuss implications for both provision and measurement of quality care.
Fußnoten
1
At the suggestion of an anonymous reviewer, we also ran a series of regressions that included interaction terms for gender × ethnic category. For the “other providers overall” outcome only, one of these interaction terms (male × biculturated Hispanic) was significant (and negative), and the model with the interaction terms also demonstrated significant positive effects of male gender, unacculturated Hispanic, and biculturated Hispanic, along with the same patterns of coefficients for age, education, and SF-12 composites as in the main effects model. The marginal effect of being a biculturated Hispanic male in that model would be lower “other providers overall” ratings relative to other groups.
 
Literatur
1.
Zurück zum Zitat Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in health care. Washington: National Academy Press; 2002. Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in health care. Washington: National Academy Press; 2002.
2.
Zurück zum Zitat Lurie N, Zhan C, Sangl J, Bierman AS, Sekscenski ES. Variation in racial and ethnic differences in consumer assessments of health care. Am J Manag Care. 2003;9(7):502–9.PubMed Lurie N, Zhan C, Sangl J, Bierman AS, Sekscenski ES. Variation in racial and ethnic differences in consumer assessments of health care. Am J Manag Care. 2003;9(7):502–9.PubMed
3.
Zurück zum Zitat Weech-Maldonado R, Morales LS, Elliott M, Spritzer K, Marshall G, Hays RD. Race/ethnicity, language, and patients’ assessments of care in Medicaid managed care. Health Serv Res. 2003;38(3):789–808.PubMedCrossRef Weech-Maldonado R, Morales LS, Elliott M, Spritzer K, Marshall G, Hays RD. Race/ethnicity, language, and patients’ assessments of care in Medicaid managed care. Health Serv Res. 2003;38(3):789–808.PubMedCrossRef
4.
Zurück zum Zitat Weech-Maldonado R, Elliott MN, Morales LS, Spritzer K, Marshall GN, Hays RD. Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities. J Gen Intern Med. 2004;19(2):136–45.PubMedCrossRef Weech-Maldonado R, Elliott MN, Morales LS, Spritzer K, Marshall GN, Hays RD. Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities. J Gen Intern Med. 2004;19(2):136–45.PubMedCrossRef
5.
Zurück zum Zitat Dayton E, Zhan C, Sangl J, Darby C, Moy E. Racial and ethnic differences in patient assessments of interactions with providers: disparities or measurement biases? Am J Med Qual. 2006;21(2):109–14.PubMedCrossRef Dayton E, Zhan C, Sangl J, Darby C, Moy E. Racial and ethnic differences in patient assessments of interactions with providers: disparities or measurement biases? Am J Med Qual. 2006;21(2):109–14.PubMedCrossRef
6.
Zurück zum Zitat Hausmann LR, Kressin NR, Hanusa BH, Ibrahim SA. Perceived racial discrimination in health care and its association with patients’ healthcare experiences: does the measure matter? Ethn Dis. 2010;20(1):40–7.PubMed Hausmann LR, Kressin NR, Hanusa BH, Ibrahim SA. Perceived racial discrimination in health care and its association with patients’ healthcare experiences: does the measure matter? Ethn Dis. 2010;20(1):40–7.PubMed
7.
Zurück zum Zitat Lara M, Gamboa C, Kahramanian MI, Morales LS, Bautista DE. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.PubMedCrossRef Lara M, Gamboa C, Kahramanian MI, Morales LS, Bautista DE. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.PubMedCrossRef
8.
Zurück zum Zitat Cheng EM, Chen A, Cunningham W. Primary language and receipt of recommended health care among Hispanics in the United States. J Gen Intern Med. 2007;22(Suppl 2):283–8.PubMedCrossRef Cheng EM, Chen A, Cunningham W. Primary language and receipt of recommended health care among Hispanics in the United States. J Gen Intern Med. 2007;22(Suppl 2):283–8.PubMedCrossRef
9.
Zurück zum Zitat DuBard CA, Gizlice Z. Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. Am J Public Health. 2008;98(11):2021–8.PubMedCrossRef DuBard CA, Gizlice Z. Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. Am J Public Health. 2008;98(11):2021–8.PubMedCrossRef
10.
Zurück zum Zitat Ghaddar S, Brown CJ, Pagán JA, Díaz V. Acculturation and healthy lifestyle habits among Hispanics in United States-Mexico border communities. Rev Panam Salud Publica. 2010;28(3):190–7.PubMedCrossRef Ghaddar S, Brown CJ, Pagán JA, Díaz V. Acculturation and healthy lifestyle habits among Hispanics in United States-Mexico border communities. Rev Panam Salud Publica. 2010;28(3):190–7.PubMedCrossRef
11.
Zurück zum Zitat Ward KK, Roncancio AM, Berenson AB. Cultural adaptation among Hispanic women as related to awareness and acquisition of emergency contraception. Contraception. 2010;82(6):534–7.PubMedCrossRef Ward KK, Roncancio AM, Berenson AB. Cultural adaptation among Hispanic women as related to awareness and acquisition of emergency contraception. Contraception. 2010;82(6):534–7.PubMedCrossRef
12.
Zurück zum Zitat Lorenzo-Blanco EI, Unger JB, Ritt-Olson A, Soto D, Baezconde-Garbanati L. Acculturation, gender, depression, and cigarette smoking among U.S. Hispanic youth: the mediating role of perceived discrimination. J Youth Adolesc. 2011;40(11):1519–33.PubMedCrossRef Lorenzo-Blanco EI, Unger JB, Ritt-Olson A, Soto D, Baezconde-Garbanati L. Acculturation, gender, depression, and cigarette smoking among U.S. Hispanic youth: the mediating role of perceived discrimination. J Youth Adolesc. 2011;40(11):1519–33.PubMedCrossRef
13.
Zurück zum Zitat Gorman BK, Read JG, Krueger PM. Gender, acculturation, and health among Mexican Americans. J Health Soc Behav. 2010;51(4):440–57.PubMedCrossRef Gorman BK, Read JG, Krueger PM. Gender, acculturation, and health among Mexican Americans. J Health Soc Behav. 2010;51(4):440–57.PubMedCrossRef
14.
Zurück zum Zitat Pérez-Escamilla R, Garcia J, Song D. HEALTH CARE ACCESS AMONG HISPANIC IMMIGRANTS: ¿ALGUIEN ESTÁ ESCUCHANDO? [IS ANYBODY LISTENING?]. NAPA Bull. 2010;34(1):47–67.PubMedCrossRef Pérez-Escamilla R, Garcia J, Song D. HEALTH CARE ACCESS AMONG HISPANIC IMMIGRANTS: ¿ALGUIEN ESTÁ ESCUCHANDO? [IS ANYBODY LISTENING?]. NAPA Bull. 2010;34(1):47–67.PubMedCrossRef
15.
Zurück zum Zitat Berdahl TA, Torres Stone RA. Examining Latino differences in mental healthcare use: the roles of acculturation and attitudes towards healthcare. Commun Ment Health J. 2009;45(5):393–403.CrossRef Berdahl TA, Torres Stone RA. Examining Latino differences in mental healthcare use: the roles of acculturation and attitudes towards healthcare. Commun Ment Health J. 2009;45(5):393–403.CrossRef
16.
Zurück zum Zitat Zambrana RE, Carter-Pokras O. Role of acculturation research in advancing science and practice in reducing health care disparities among Latinos. Am J Public Health. 2010;100(1):18–23.PubMedCrossRef Zambrana RE, Carter-Pokras O. Role of acculturation research in advancing science and practice in reducing health care disparities among Latinos. Am J Public Health. 2010;100(1):18–23.PubMedCrossRef
17.
Zurück zum Zitat Solomon LS, Hays RD, Zaslavsky AM, Ding L, Cleary PD. Psychometric properties of a group-level Consumer Assessment of Health Plans Study (CAHPS) instrument. Med Care. 2005;43(1):53–60.PubMed Solomon LS, Hays RD, Zaslavsky AM, Ding L, Cleary PD. Psychometric properties of a group-level Consumer Assessment of Health Plans Study (CAHPS) instrument. Med Care. 2005;43(1):53–60.PubMed
18.
Zurück zum Zitat Ware JE, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220–33.PubMedCrossRef Ware JE, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220–33.PubMedCrossRef
19.
Zurück zum Zitat Marin G, Gamba RJ. A new measurement of acculturation for Hispanics: the Bidimensional Acculturation Scale for Hispanics (BAS). Hisp J Behav Sci. 1996;18(3):297–316.CrossRef Marin G, Gamba RJ. A new measurement of acculturation for Hispanics: the Bidimensional Acculturation Scale for Hispanics (BAS). Hisp J Behav Sci. 1996;18(3):297–316.CrossRef
20.
Zurück zum Zitat Institute of Medicine: Committee on Health Care in America. Crossing the quality chasm: a new health system for the 21st century. National Academy Press; 2001. Institute of Medicine: Committee on Health Care in America. Crossing the quality chasm: a new health system for the 21st century. National Academy Press; 2001.
21.
Zurück zum Zitat Katz JN, Lyons N, Wolff LS, Silverman J, Emrani P, Holt HL, Corbett KL, Escalante A, Losina E. Medical decision-making among Hispanics and non-Hispanic Whites with chronic back and knee pain: a qualitative study. BMC Musculoskelet Disord. 2011;21(12):78.CrossRef Katz JN, Lyons N, Wolff LS, Silverman J, Emrani P, Holt HL, Corbett KL, Escalante A, Losina E. Medical decision-making among Hispanics and non-Hispanic Whites with chronic back and knee pain: a qualitative study. BMC Musculoskelet Disord. 2011;21(12):78.CrossRef
22.
Zurück zum Zitat Antecol H, Bedard K. Unhealthy assimilation: why do immigrants converge to American health status levels? Demography. 2006;43(2):337–60.PubMedCrossRef Antecol H, Bedard K. Unhealthy assimilation: why do immigrants converge to American health status levels? Demography. 2006;43(2):337–60.PubMedCrossRef
23.
Zurück zum Zitat Akresh IR, Frank R. Health selection among new immigrants. Am J Public Health. 2008;98(11):2058–64.PubMedCrossRef Akresh IR, Frank R. Health selection among new immigrants. Am J Public Health. 2008;98(11):2058–64.PubMedCrossRef
24.
Zurück zum Zitat Diwan S. Limited English proficiency, social network characteristics, and depressive symptoms among older immigrants. J Gerontol B Psychol Sci Soc Sci. 2008;63(3):S184–91.PubMedCrossRef Diwan S. Limited English proficiency, social network characteristics, and depressive symptoms among older immigrants. J Gerontol B Psychol Sci Soc Sci. 2008;63(3):S184–91.PubMedCrossRef
25.
Zurück zum Zitat Johnson KL, Carroll JF, Fulda KG, Cardarelli K, Cardarelli R. Acculturation and self-reported health among Hispanics using a socio-behavioral model: the North Texas Healthy Heart Study. BMC Public Health. 2010;2(10):53.CrossRef Johnson KL, Carroll JF, Fulda KG, Cardarelli K, Cardarelli R. Acculturation and self-reported health among Hispanics using a socio-behavioral model: the North Texas Healthy Heart Study. BMC Public Health. 2010;2(10):53.CrossRef
26.
Zurück zum Zitat Schwartz A, Hasnain M, Eiser AR, Lincoln E, Elstein AS. Patient-physician fit: an exploratory study of a multidimensional instrument. Med Decis Mak. 2006;26(2):122–33.CrossRef Schwartz A, Hasnain M, Eiser AR, Lincoln E, Elstein AS. Patient-physician fit: an exploratory study of a multidimensional instrument. Med Decis Mak. 2006;26(2):122–33.CrossRef
Metadaten
Titel
Differences in Patient-Reported Experiences of Care by Race and Acculturation Status
verfasst von
Memoona Hasnain
Alan Schwartz
Jorge Girotti
Angela Bixby
Luis Rivera
and the UIC Experiences of Care Project Group
Publikationsdatum
01.06.2013
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 3/2013
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-012-9728-x

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