Skip to main content
Erschienen in: Pediatric Nephrology 8/2012

01.08.2012 | Original Article

Migration background and patient satisfaction in a pediatric nephrology outpatient clinic

verfasst von: Dan Züllich, Miriam Zimmering, Thomas Keil, Uwe Querfeld

Erschienen in: Pediatric Nephrology | Ausgabe 8/2012

Einloggen, um Zugang zu erhalten

Abstract

Background

We examined the association of a migration background and patient satisfaction in a pediatric nephrology outpatient clinic in Germany.

Methods

This was a cross-sectional study of 348 families presenting at the Pediatric Nephrology Outpatient Department of Charité University Children’s Hospital in Berlin during 2008. Parents were asked to complete a questionnaire containing basic sociodemographic information, a subjective categorical rating of disease severity and communication with the medical team, and a validated patient satisfaction score (ZUF-8) derived from a customer satisfaction score used by industry and modified for healthcare providers.

Results

Of the 348 families included in the study, 131 patients (38 %) had a migration background (20 different nationalities, 22 different native languages). Patient satisfaction (rated on a scale from 8 to 40) was significantly higher in families without (32.9 ± 4.6) than in those with a migration background (30.8 ± 4.7; p < 0.0001). A multivariate linear regression analysis revealed that trust in doctors, friendliness of the doctor, severity of the child’s disease, number of medications prescribed, and a migration background were significantly and independently correlated with patient satisfaction.

Conclusions

Migrant families were less satisfied with the provision of the outpatient care provided by our department than non-migrants.
Literatur
1.
Zurück zum Zitat Flores G, Olson L, Tomany-Korman SC (2005) Racial and ethnic disparities in early childhood health and health care. Pediatrics 115:e183–e193PubMedCrossRef Flores G, Olson L, Tomany-Korman SC (2005) Racial and ethnic disparities in early childhood health and health care. Pediatrics 115:e183–e193PubMedCrossRef
2.
Zurück zum Zitat Lanting LC, Bootsma AH, Lamberts SW, Mackenbach JP, Joung IM (2008) Ethnic differences in internal medicine referrals and diagnosis in the Netherlands. BMC Publ Health 8:287CrossRef Lanting LC, Bootsma AH, Lamberts SW, Mackenbach JP, Joung IM (2008) Ethnic differences in internal medicine referrals and diagnosis in the Netherlands. BMC Publ Health 8:287CrossRef
3.
Zurück zum Zitat Lange M, Kamtsiuris P, Lange C, Schaffrath Rosario A, Stolzenberg H, Lampert T (2007) Sociodemographic characteristics in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)—operationalisation and public health significance, taking as an example the assessment of general state of health. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:578–589PubMedCrossRef Lange M, Kamtsiuris P, Lange C, Schaffrath Rosario A, Stolzenberg H, Lampert T (2007) Sociodemographic characteristics in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)—operationalisation and public health significance, taking as an example the assessment of general state of health. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:578–589PubMedCrossRef
4.
Zurück zum Zitat Brotanek JM, Gosz J, Weitzman M, Flores G (2007) Iron deficiency in early childhood in the United States: risk factors and racial/ethnic disparities. Pediatrics 120:568–575PubMedCrossRef Brotanek JM, Gosz J, Weitzman M, Flores G (2007) Iron deficiency in early childhood in the United States: risk factors and racial/ethnic disparities. Pediatrics 120:568–575PubMedCrossRef
5.
Zurück zum Zitat Schmidt J, Lamprecht F, Wittmann WW (1989) Satisfaction with inpatient management. Development of a questionnaire and initial validity studies. Psychother Psychosom Med Psychol 39:248–255PubMed Schmidt J, Lamprecht F, Wittmann WW (1989) Satisfaction with inpatient management. Development of a questionnaire and initial validity studies. Psychother Psychosom Med Psychol 39:248–255PubMed
6.
Zurück zum Zitat Richter M, Schmid-Ott G, Muthny FA (2011) Subjective requirements for psychosomatic rehabilitation and their influence on patient satisfaction - "basic, performance and excitement factors" according to Kano. Gesundheitswesen 73:169–176PubMedCrossRef Richter M, Schmid-Ott G, Muthny FA (2011) Subjective requirements for psychosomatic rehabilitation and their influence on patient satisfaction - "basic, performance and excitement factors" according to Kano. Gesundheitswesen 73:169–176PubMedCrossRef
7.
Zurück zum Zitat Larisch A, Reuss A, Oertel WH, Eggert K (2011) Does the clinical practice guideline on Parkinson's disease change health outcomes? A cluster randomized controlled trial. J Neurol 258:826–834PubMedCrossRef Larisch A, Reuss A, Oertel WH, Eggert K (2011) Does the clinical practice guideline on Parkinson's disease change health outcomes? A cluster randomized controlled trial. J Neurol 258:826–834PubMedCrossRef
8.
Zurück zum Zitat BfAu S (2010) Verordnung zur Erhebung der Merkmale des Migrationshintergrundes (Migrationshintergrund-Erhebungsverordnung—MighEV). Bundesgesetzblatt 50:1372–1373 BfAu S (2010) Verordnung zur Erhebung der Merkmale des Migrationshintergrundes (Migrationshintergrund-Erhebungsverordnung—MighEV). Bundesgesetzblatt 50:1372–1373
9.
Zurück zum Zitat Attkisson CC, Zwick R (1982) The client satisfaction questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome. Eval Program Plann 5:233–237PubMedCrossRef Attkisson CC, Zwick R (1982) The client satisfaction questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome. Eval Program Plann 5:233–237PubMedCrossRef
10.
Zurück zum Zitat Latour JM, Hazelzet JA, van der Heijden AJ (2005) Parent satisfaction in pediatric intensive care: a critical appraisal of the literature. Pediatr Crit Care Med 6:578–584PubMedCrossRef Latour JM, Hazelzet JA, van der Heijden AJ (2005) Parent satisfaction in pediatric intensive care: a critical appraisal of the literature. Pediatr Crit Care Med 6:578–584PubMedCrossRef
11.
Zurück zum Zitat Roberts RE, Attkisson CC (1983) Assessing client satisfaction among Hispanics. Eval Program Plann 6:401–413PubMedCrossRef Roberts RE, Attkisson CC (1983) Assessing client satisfaction among Hispanics. Eval Program Plann 6:401–413PubMedCrossRef
12.
Zurück zum Zitat Jayadevappa R, Schwartz JS, Chhatre S, Wein AJ, Malkowicz SB (2010) Satisfaction with care: a measure of quality of care in prostate cancer patients. Med Decision Making 30:234–245CrossRef Jayadevappa R, Schwartz JS, Chhatre S, Wein AJ, Malkowicz SB (2010) Satisfaction with care: a measure of quality of care in prostate cancer patients. Med Decision Making 30:234–245CrossRef
13.
Zurück zum Zitat Wilson A, Hewitt G, Matthews R, Richards SH, Shepperd S (2006) Development and testing of a questionnaire to measure patient satisfaction with intermediate care. Qual Saf Health Care 15:314–319PubMedCrossRef Wilson A, Hewitt G, Matthews R, Richards SH, Shepperd S (2006) Development and testing of a questionnaire to measure patient satisfaction with intermediate care. Qual Saf Health Care 15:314–319PubMedCrossRef
14.
Zurück zum Zitat Furth SL, Hwang W, Neu AM, Fivush BA, Powe NR (2003) Effects of patient compliance, parental education and race on nephrologists' recommendations for kidney transplantation in children. Am J Transplant 3:28–34PubMedCrossRef Furth SL, Hwang W, Neu AM, Fivush BA, Powe NR (2003) Effects of patient compliance, parental education and race on nephrologists' recommendations for kidney transplantation in children. Am J Transplant 3:28–34PubMedCrossRef
15.
Zurück zum Zitat McLearn KT, Strobino DM, Hughart N, Minkovitz CS, Scharfstein D, Marks E, Guyer B (2004) Developmental services in primary care for low-income children: clinicians' perceptions of the Healthy Steps for Young Children program. J Urban Health 81:206–221PubMedCrossRef McLearn KT, Strobino DM, Hughart N, Minkovitz CS, Scharfstein D, Marks E, Guyer B (2004) Developmental services in primary care for low-income children: clinicians' perceptions of the Healthy Steps for Young Children program. J Urban Health 81:206–221PubMedCrossRef
16.
Zurück zum Zitat Minkovitz C, Strobino D, Hughart N, Scharfstein D, Guyer B (2001) Early effects of the healthy steps for young children program. Arch Pediatr Adolesc Med 155:470–479PubMed Minkovitz C, Strobino D, Hughart N, Scharfstein D, Guyer B (2001) Early effects of the healthy steps for young children program. Arch Pediatr Adolesc Med 155:470–479PubMed
17.
Zurück zum Zitat Weller WE, Minkovitz CS, Anderson GF (2003) Utilization of medical and health-related services among school-age children and adolescents with special health care needs (1994 National Health Interview Survey on Disability [NHIS-D] Baseline Data). Pediatrics 112:593–603PubMedCrossRef Weller WE, Minkovitz CS, Anderson GF (2003) Utilization of medical and health-related services among school-age children and adolescents with special health care needs (1994 National Health Interview Survey on Disability [NHIS-D] Baseline Data). Pediatrics 112:593–603PubMedCrossRef
18.
Zurück zum Zitat Kurth BM, Schaffrath Rosario A (2007) The prevalence of overweight and obese children and adolescents living in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:736–743PubMedCrossRef Kurth BM, Schaffrath Rosario A (2007) The prevalence of overweight and obese children and adolescents living in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:736–743PubMedCrossRef
19.
Zurück zum Zitat Lob-Corzilius T (2007) Overweight and obesity in childhood–a special challenge for public health. Int J Hyg Environ Health 210:585–589PubMedCrossRef Lob-Corzilius T (2007) Overweight and obesity in childhood–a special challenge for public health. Int J Hyg Environ Health 210:585–589PubMedCrossRef
20.
Zurück zum Zitat Ravens-Sieberer U, Erhart M, Wille N, Bullinger M (2008) Health-related quality of life in children and adolescents in Germany: results of the BELLA study. Eur Child Adolesc Psychiatry 17[Suppl 1]:148–156PubMedCrossRef Ravens-Sieberer U, Erhart M, Wille N, Bullinger M (2008) Health-related quality of life in children and adolescents in Germany: results of the BELLA study. Eur Child Adolesc Psychiatry 17[Suppl 1]:148–156PubMedCrossRef
21.
Zurück zum Zitat Bischoff A, Perneger TV, Bovier PA, Loutan L, Stalder H (2003) Improving communication between physicians and patients who speak a foreign language. Br J Gen Pract 53:541–546PubMed Bischoff A, Perneger TV, Bovier PA, Loutan L, Stalder H (2003) Improving communication between physicians and patients who speak a foreign language. Br J Gen Pract 53:541–546PubMed
22.
Zurück zum Zitat Weech-Maldonado R, Morales LS, Elliott M, Spritzer K, Marshall G, Hays RD (2003) Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. Health Serv Res 38:789–808PubMedCrossRef Weech-Maldonado R, Morales LS, Elliott M, Spritzer K, Marshall G, Hays RD (2003) Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. Health Serv Res 38:789–808PubMedCrossRef
23.
Zurück zum Zitat Weech-Maldonado R, Morales LS, Spritzer K, Elliott M, Hays RD (2001) Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. Health Serv Res 36:575–594PubMed Weech-Maldonado R, Morales LS, Spritzer K, Elliott M, Hays RD (2001) Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. Health Serv Res 36:575–594PubMed
24.
Zurück zum Zitat Morales LS, Elliott M, Weech-Maldonado R, Hays RD (2006) The impact of interpreters on parents' experiences with ambulatory care for their children. Med Care Res Rev 63:110–128PubMedCrossRef Morales LS, Elliott M, Weech-Maldonado R, Hays RD (2006) The impact of interpreters on parents' experiences with ambulatory care for their children. Med Care Res Rev 63:110–128PubMedCrossRef
25.
Zurück zum Zitat David M, Braun T, Borde T (2004) Pain and ethnicity—results of a survey at three internal/gynecological first-aid stations in Berlin. Zentralbl Gynakol 126:81–86PubMedCrossRef David M, Braun T, Borde T (2004) Pain and ethnicity—results of a survey at three internal/gynecological first-aid stations in Berlin. Zentralbl Gynakol 126:81–86PubMedCrossRef
26.
Zurück zum Zitat Franz M, Lujic C, Koch E, Wusten B, Yuruk N, Gallhofer B (2007) Subjective illness beliefs of Turkish migrants with mental disorders–specific characteristics compared to german patients. Psychiatr Prax 34:332–338PubMedCrossRef Franz M, Lujic C, Koch E, Wusten B, Yuruk N, Gallhofer B (2007) Subjective illness beliefs of Turkish migrants with mental disorders–specific characteristics compared to german patients. Psychiatr Prax 34:332–338PubMedCrossRef
27.
Zurück zum Zitat von Ferber L, Koster I, Celayir-Erdogan N (2003) Turkish and German patients of general practitioners—diseases, drug expectations and drug prescriptions. Gesundheitswesen 65:304–311CrossRef von Ferber L, Koster I, Celayir-Erdogan N (2003) Turkish and German patients of general practitioners—diseases, drug expectations and drug prescriptions. Gesundheitswesen 65:304–311CrossRef
28.
Zurück zum Zitat Crossley J, Eiser C, Davies HA (2005) Children and their parents assessing the doctor-patient interaction: a rating system for doctors' communication skills. Med Educ 39:820–828PubMedCrossRef Crossley J, Eiser C, Davies HA (2005) Children and their parents assessing the doctor-patient interaction: a rating system for doctors' communication skills. Med Educ 39:820–828PubMedCrossRef
29.
Zurück zum Zitat Thom DH, Ribisl KM, Stewart AL, Luke DA (1999) Further validation and reliability testing of the Trust in Physician Scale. The Stanford Trust Study Physicians. Med Care 37:510–517PubMedCrossRef Thom DH, Ribisl KM, Stewart AL, Luke DA (1999) Further validation and reliability testing of the Trust in Physician Scale. The Stanford Trust Study Physicians. Med Care 37:510–517PubMedCrossRef
30.
Zurück zum Zitat Moseley KL, Clark SJ, Gebremariam A, Sternthal MJ, Kemper AR (2006) Parents' trust in their child's physician: using an adapted Trust in Physician Scale. Ambul Pediatr 6:58–61PubMedCrossRef Moseley KL, Clark SJ, Gebremariam A, Sternthal MJ, Kemper AR (2006) Parents' trust in their child's physician: using an adapted Trust in Physician Scale. Ambul Pediatr 6:58–61PubMedCrossRef
31.
Zurück zum Zitat Byczkowski TL, Kollar LM, Britto MT (2010) Family experiences with outpatient care: do adolescents and parents have the same perceptions? J Adolesc Health 47:92–98PubMedCrossRef Byczkowski TL, Kollar LM, Britto MT (2010) Family experiences with outpatient care: do adolescents and parents have the same perceptions? J Adolesc Health 47:92–98PubMedCrossRef
32.
Zurück zum Zitat Mangione-Smith R, McGlynn EA (1998) Assessing the quality of healthcare provided to children. Health Serv Res 33:1059–1090PubMed Mangione-Smith R, McGlynn EA (1998) Assessing the quality of healthcare provided to children. Health Serv Res 33:1059–1090PubMed
33.
Zurück zum Zitat Mangione-Smith R (2007) Bridging the quality chasm for children: need for valid, comprehensive measurement tools. Arch Pediatr Adolesc Med 161:909–910PubMedCrossRef Mangione-Smith R (2007) Bridging the quality chasm for children: need for valid, comprehensive measurement tools. Arch Pediatr Adolesc Med 161:909–910PubMedCrossRef
34.
Zurück zum Zitat Brutt AL, Sandberg DE, Chaplin J, Wollmann H, Noeker M, Koltowska-Haggstrom M, Bullinger M (2009) Assessment of health-related quality of life and patient satisfaction in children and adolescents with growth hormone deficiency or idiopathic short stature—part 1: a critical evaluation of available tools. Horm Res 72:65–73PubMed Brutt AL, Sandberg DE, Chaplin J, Wollmann H, Noeker M, Koltowska-Haggstrom M, Bullinger M (2009) Assessment of health-related quality of life and patient satisfaction in children and adolescents with growth hormone deficiency or idiopathic short stature—part 1: a critical evaluation of available tools. Horm Res 72:65–73PubMed
Metadaten
Titel
Migration background and patient satisfaction in a pediatric nephrology outpatient clinic
verfasst von
Dan Züllich
Miriam Zimmering
Thomas Keil
Uwe Querfeld
Publikationsdatum
01.08.2012
Verlag
Springer-Verlag
Erschienen in
Pediatric Nephrology / Ausgabe 8/2012
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-012-2133-9

Weitere Artikel der Ausgabe 8/2012

Pediatric Nephrology 8/2012 Zur Ausgabe

Kinder mit anhaltender Sinusitis profitieren häufig von Antibiotika

30.04.2024 Rhinitis und Sinusitis Nachrichten

Persistieren Sinusitisbeschwerden bei Kindern länger als zehn Tage, ist eine Antibiotikatherapie häufig gut wirksam: Ein Therapieversagen ist damit zu über 40% seltener zu beobachten als unter Placebo.

Neuer Typ-1-Diabetes bei Kindern am Wochenende eher übersehen

23.04.2024 Typ-1-Diabetes Nachrichten

Wenn Kinder an Werktagen zum Arzt gehen, werden neu auftretender Typ-1-Diabetes und diabetische Ketoazidosen häufiger erkannt als bei Arztbesuchen an Wochenenden oder Feiertagen.

Neue Studienergebnisse zur Myopiekontrolle mit Atropin

22.04.2024 Fehlsichtigkeit Nachrichten

Augentropfen mit niedrig dosiertem Atropin können helfen, das Fortschreiten einer Kurzsichtigkeit bei Kindern zumindest zu verlangsamen, wie die Ergebnisse einer aktuellen Studie mit verschiedenen Dosierungen zeigen.

Spinale Muskelatrophie: Neugeborenen-Screening lohnt sich

18.04.2024 Spinale Muskelatrophien Nachrichten

Seit 2021 ist die Untersuchung auf spinale Muskelatrophie Teil des Neugeborenen-Screenings in Deutschland. Eine Studie liefert weitere Evidenz für den Nutzen der Maßnahme.

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.