Participatory decision-making for cancer care in a high-risk sample of low income Mexican-American breast cancer survivors: The role of acculturation
| Autor: | Sadeeka Al-Majid, Maribel Cervantes-Ortega, Kelly A. Biegler, Alfred Kobsa, Dara H. Sorkin, Dana B. Mukamel, Senxi Du, Yunan Chen, Katelyn Davis |
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| Rok vydání: | 2020 |
| Předmět: |
Gerontology
media_common.quotation_subject 8.1 Organisation and delivery of services Interpersonal communication Trust Basic Behavioral and Social Science Article 7.3 Management and decision making Breast cancer Latina Participatory decision-making Clinical Research Health care Behavioral and Social Science Breast Cancer medicine Quality (business) Medical diagnosis media_common Cancer business.industry Mortality rate Breast cancer survivor Quality of care Health Services medicine.disease Acculturation Interpersonal quality of care Good Health and Well Being Public Health and Health Services Management of diseases and conditions business Health and social care services research |
| Zdroj: | International journal of healthcare, vol 6, iss 2 Int J Healthc |
| Popis: | Background: Despite declining cancer incidence and mortality rates, Latina patients continue to have lower 5-year survival rates compared to their non-Hispanic white counterparts. Much of this difference has been attributed to lack of healthcare access and poorer quality of care. Research, however, has not considered the unique healthcare experiences of Latina patients.Methods: Latina women with prior diagnoses of stage 0-III breast cancer were asked to complete a cross-sectional survey assessing several socio-demographic factors along with their experiences as cancer patients. Using a series of linear regression models in a sample of 68 Mexican-American breast cancer survivors, we examined the extent to which patients’ ratings of provider interpersonal quality of care were associated with patients’ overall healthcare quality, and how these associations varied by acculturation status.Results: Findings for Latina women indicated that both participatory decision-making (PDM) (β = 0.62, p < .0001) and trust (β = 0.53, p = .02) were significantly associated with patients’ ratings of healthcare quality. The interaction between acculturation and PDM further suggested that participating in the decision-making process mattered more for less acculturated than for more acculturated patients (β = -0.51, p ≤ .01).Conclusions: The variation across low and high acculturated Latinas in their decision-making process introduces a unique challenge to health care providers. Further understanding the relationship between provider-patient experiences and ratings of overall healthcare quality is critical for ultimately improving health outcomes. |
| Databáze: | OpenAIRE |
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