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Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care?

This study adds a gender approach to determine how patient provider racial concordance and acculturation affect Hispanics’ satisfaction with care and inform more nuanced approaches to improving the quality of care for this population. Using the Medical Expenditure Panel Surveys (MEPS) from 2009–2011...

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Detalles Bibliográficos
Autor principal: Oguz, Tunay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338960/
https://www.ncbi.nlm.nih.gov/pubmed/30586847
http://dx.doi.org/10.3390/ijerph16010031
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author Oguz, Tunay
author_facet Oguz, Tunay
author_sort Oguz, Tunay
collection PubMed
description This study adds a gender approach to determine how patient provider racial concordance and acculturation affect Hispanics’ satisfaction with care and inform more nuanced approaches to improving the quality of care for this population. Using the Medical Expenditure Panel Surveys (MEPS) from 2009–2011, four binary satisfaction outcome measures were created from the MEPS: “doctor showed respect”, “spent enough time”, “explained things in a way you could understand”, and “listened carefully”. Next, a Probit model was employed to estimate the impact of racial concordance and acculturation on the probability of being satisfied with provider care for both male and female Hispanics. For Hispanic women, no significant association was found for the relationship between patient-provider concordance and the overall satisfaction with their care. Hispanic men were found to be less likely to be satisfied with some aspects of their medical care when they were racially concordant with their provider. Overcoming assumptions about shared identity is a crucial step in providing culturally competent care for all patients. There is a need for additional considerations in medical training to help physicians connect with patients, regardless of any type of observable concordance.
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spelling pubmed-63389602019-01-23 Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care? Oguz, Tunay Int J Environ Res Public Health Article This study adds a gender approach to determine how patient provider racial concordance and acculturation affect Hispanics’ satisfaction with care and inform more nuanced approaches to improving the quality of care for this population. Using the Medical Expenditure Panel Surveys (MEPS) from 2009–2011, four binary satisfaction outcome measures were created from the MEPS: “doctor showed respect”, “spent enough time”, “explained things in a way you could understand”, and “listened carefully”. Next, a Probit model was employed to estimate the impact of racial concordance and acculturation on the probability of being satisfied with provider care for both male and female Hispanics. For Hispanic women, no significant association was found for the relationship between patient-provider concordance and the overall satisfaction with their care. Hispanic men were found to be less likely to be satisfied with some aspects of their medical care when they were racially concordant with their provider. Overcoming assumptions about shared identity is a crucial step in providing culturally competent care for all patients. There is a need for additional considerations in medical training to help physicians connect with patients, regardless of any type of observable concordance. MDPI 2018-12-24 2019-01 /pmc/articles/PMC6338960/ /pubmed/30586847 http://dx.doi.org/10.3390/ijerph16010031 Text en © 2018 by the author. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Oguz, Tunay
Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care?
title Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care?
title_full Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care?
title_fullStr Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care?
title_full_unstemmed Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care?
title_short Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care?
title_sort is patient-provider racial concordance associated with hispanics’ satisfaction with health care?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338960/
https://www.ncbi.nlm.nih.gov/pubmed/30586847
http://dx.doi.org/10.3390/ijerph16010031
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