Latinx Patients’ Perceptions of Culturally Sensitive Health Care and their Association with Patient Satisfaction, Patient-Provider Communication, and Therapeutic Alliance
Autor: | Amy Hudson, S Whitaker, V Carrasco, D Melendez, J Ratchford, Julia Roncoroni, E Leeper, A Edelman, Maria G. Frank, P Garcia |
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Rok vydání: | 2021 |
Předmět: |
education.field_of_study
medicine.medical_specialty 030505 public health Health (social science) Sociology and Political Science Inpatient care business.industry Health Policy Population Public Health Environmental and Occupational Health Interpersonal communication Competence (law) 03 medical and health sciences 0302 clinical medicine Patient satisfaction Anthropology Family medicine Health care Epidemiology medicine 030212 general & internal medicine Culturally Competent Care 0305 other medical science business education |
Zdroj: | Journal of Racial and Ethnic Health Disparities. 9:620-629 |
ISSN: | 2196-8837 2197-3792 |
DOI: | 10.1007/s40615-021-00994-w |
Popis: | Latinx in the USA experience disparities in morbidity and mortality when compared to their non-Hispanic White counterparts. Patient-centered culturally sensitive health care (PC-CSHC) has been deemed a best practice approach to alleviate and eliminate these disparities. However, literature on how Latinx patients perceive their care and what indicators of PC-CSHC may be most related to treatment outcomes is limited. This study collected data from 81 adult Latinx participants who had been admitted to an inpatient care unit to understand the following: (a) their perception of their providers' PC-CSHC in three different areas: Competence/Confidence, Sensitivity/Interpersonal, and Respect/Communication; (b) whether there are differences between English- and Spanish-speaking Latinx patients in their perception of their providers' PC-CSHC; and (c) whether these PC-CSHC indicators were associated to patient satisfaction, patient-provider communication, and therapeutic alliance. Participants were mostly male, older than 55 years of age, and working or lower class, with English as their primary language. Results showed that patients rated their providers' Competence (M = 3.57, SD = .46) higher than both Sensitivity, t(68) = .04, p = .04, (M = 3.49, SD =.54), and Respect, t(53) = 2.765, p = .008, (M = 3.38, SD = .57). English-speaking Latinx were overall less satisfied with their providers than Spanish-speaking Latinx, in particular in their communication. Finally, higher provider cultural sensitivity appears to be a predictor of patient satisfaction, patient-provider communication, and working alliance. Implications for refining provider trainings to treat this vulnerable and understudied (i.e., Latinx) population are discussed. |
Databáze: | OpenAIRE |
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