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Journal of Community Health
Erschienen in: Journal of Community Health 6/2016

04.07.2016 | Original Paper

Hispanics’ Satisfaction with Free Clinic Providers: An Analysis of Patient-Centered Medical Home Characteristics

verfasst von: Elena R. Platonova, Jan Warren-Findlow, William J. Saunders, Jenny A. Hutchison, Maren J. Coffman

Erschienen in: Journal of Community Health | Ausgabe 6/2016

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Abstract

Hispanic Americans are less likely to be insured and they experience cultural and linguistic barriers that may prevent them from obtaining necessary and preventive healthcare. Adoption of Patient Centered Medical Home (PCMH) concepts in healthcare settings utilized by Hispanics could improve Hispanic patients’ satisfaction with their healthcare providers. This study examined the association between Spanish-speaking and non-Spanish-speaking patients’ perceptions of PCMH characteristics and satisfaction with the provider. Data were collected using a self-administered survey from two unaffiliated free clinics. Logistic regression modeled the associations between patients’ perceptions of PCMH and their satisfaction with their provider, and their desire to see the same provider in the future. The sample consisted of 367 adults; 44 % were Spanish-speaking. Spanish-speaking patients were younger, less educated, and had fewer chronic conditions than non-Spanish-speaking patients. In adjusted analyses for each population, better ratings of the provider’s communication skills were associated with increased satisfaction with the provider (Spanish-speaking: OR = 8.33, 95 % CI = 2.19–31.76; non-Spanish-speaking: OR = 31.39, 95 % CI = 6.91–142.62), and willingness to see the provider again (Spanish-speaking: OR = 12.54, 95 % CI = 2.80–56.24; non-Spanish-speaking: OR = 8.77, 95 % CI = 2.40–31.96). Among Spanish-speakers, lower perceived discrimination was associated with 137 % increased odds and higher perceived staff helpfulness had 212 % increased odds of seeing the provider again. Relative to other PCMH components, interpersonal skills were the most important factors in patient satisfaction with free clinics. Increased training for clinicians on cultural competence and clinician-patient communication may lead to improved patient satisfaction for both Spanish and non-Spanish speakers seen at free clinics, particularly clinics in states without Medicaid expansion.
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Metadaten
Titel
Hispanics’ Satisfaction with Free Clinic Providers: An Analysis of Patient-Centered Medical Home Characteristics
verfasst von
Elena R. Platonova
Jan Warren-Findlow
William J. Saunders
Jenny A. Hutchison
Maren J. Coffman
Publikationsdatum
04.07.2016
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 6/2016
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-016-0218-2

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