Patient Experiences in a Linguistically Diverse Safety Net Primary Care Setting: Qualitative Study
| Autor: | Berkowitz, Rachel L, Phillip, Nimeka, Berry, Lyn, Yen, Irene H |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Medical home
Interview media_common.quotation_subject Safety net Biomedical Engineering Medicine (miscellaneous) communication barriers Health Informatics patient-centered care 03 medical and health sciences 0302 clinical medicine quality of health care Nursing Cultural diversity Patient experience 030212 general & internal medicine media_common Original Paper Distrust 030503 health policy & services urban health services primary health care safety-net providers 0305 other medical science Psychology qualitative research Diversity (politics) Qualitative research |
| Zdroj: | Journal of Participatory Medicine |
| ISSN: | 2152-7202 |
| DOI: | 10.2196/jopm.9229 |
| Popis: | Background: The patient-centered medical home model intends to improve patient experience and primary care quality. Within an urban safety net setting in Northern California, United States, these desired outcomes are complicated by both the diversity of the patient community and the care continuity implications of a residency program. Objective: The objective of our study was to understand the patient experience beyond standardized satisfaction measures. Methods: We conducted a qualitative study, interviewing 19 patients from the clinic (English-, Spanish-, or Mien-speaking patients). Results: Some themes, such as the desire to feel confident in their doctor, emerged across language groups, pointing to institutional challenges. Other themes, such as distrust in care being provided, were tied distinctly to speaking a language different from one’s provider. Still other themes, such as a sense of powerlessness, were related to cultural differences and to speaking a language (Mien) not spoken by staff. Conclusions: Findings illuminate the need to understand cultural behaviors and interactional styles in a diverse patient population to create a high-quality medical home. [J Participat Med 2018;10(1):e4] |
| Databáze: | OpenAIRE |
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