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

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 unacc...

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Bibliographic Details
Published in:Journal of immigrant and minority health 2013-06, Vol.15 (3), p.517-524
Main Authors: Hasnain, Memoona, Schwartz, Alan, Girotti, Jorge, Bixby, Angela, Rivera, Luis
Format: Article
Language:English
Subjects:
Acculturation
Adolescent
Adult
African Americans
Aged
Algorithms
Bilingualism
Comparative Law
Cultural Competency
Cultural differences
Data collection
Delivery of Health Care - ethnology
Ethnicity
European Continental Ancestry Group
Female
Health behavior
Health care access
Health care industry
Health Care Surveys
Health Conditions
Health disparities
Health Services
Hispanic Americans
Hispanic people
Humans
Immigrants
International & Foreign Law
Male
Medical Education
Medicine
Medicine & Public Health
Middle Aged
Minority & ethnic groups
Minority Groups
Noncitizens
ORIGINAL PAPER
Patient care
Patients
Perceptions
Physicians
Primary care
Primary health care
Private International Law
Public Health
Quality of care
Quality of Health Care
Race
Self Report
Sociology
Studies
United States
Whites
Young Adult
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Summary: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.
ISSN:1557-1912
1557-1920
DOI:10.1007/s10903-012-9728-x