Racial and Ethnic Differences in Patient Perceptions of Bias and Cultural Competence in Health Care

OBJECTIVES:  To determine: 1) whether racial and ethnic differences exist in patients’ perceptions of primary care provider (PCP) and general health care system–related bias and cultural competence; and 2) whether these differences are explained by patient demographics, source of care, or patient‐pr...

Full description

Saved in:
Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2004-02, Vol.19 (2), p.101-110
Main Authors: Johnson, Rachel L., Saha, Somnath, Arbelaez, Jose J., Beach, Mary Catherine, Cooper, Lisa A.
Format: Article
Language:English
Subjects:
Adult
bias
Bioethics
Biological and medical sciences
Communication Barriers
Continental Population Groups
Cross-Cultural Comparison
cultural competence
Cultural Diversity
disparities
Ethnic Groups
Female
Health Care Surveys
Health participants
Humans
Internal medicine
Interpersonal Relations
Male
Medical sciences
Middle Aged
Original
Patient Acceptance of Health Care - ethnology
Physician-Patient Relations
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of Health Care
racial and ethnic minorities
Social Perception
United States
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:OBJECTIVES:  To determine: 1) whether racial and ethnic differences exist in patients’ perceptions of primary care provider (PCP) and general health care system–related bias and cultural competence; and 2) whether these differences are explained by patient demographics, source of care, or patient‐provider communication variables. DESIGN:  Cross‐sectional telephone survey. SETTING:  The Commonwealth Fund 2001 Health Care Quality Survey. SUBJECTS:  A total of 6,299 white, African‐American, Hispanic, and Asian adults. MEASUREMENTS AND MAIN RESULTS:  Interviews were conducted using random‐digit dialing; oversampling respondents from communities with high racial/ethnic minority concentrations; and yielding a 54.3% response rate. Main outcomes address respondents’ perceptions of their PCPs’ and health care system–related bias and cultural competence; adjusted probabilities (Pr) are reported for each ethnic group. Most racial/ethnic differences in perceptions of PCP bias and cultural competence were explained by demographics, source of care, and patient–physician communication variables. In contrast, racial/ethnic differences in patient perceptions of health care system–wide bias and cultural competence persisted even after controlling for confounders: African Americans, Hispanics, and Asians remained more likely than whites (P 
ISSN:0884-8734
1525-1497
DOI:10.1111/j.1525-1497.2004.30262.x