Candice D Donaldson1,2, Archana Bharadwaj2,3, Bradley Giafaglione4, Pat Patton4, Michelle A Fortier2,5,6,7,8, Zeev N Kain9,10,11,12,13. 1. Department of Psychology, Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA. 2. Center on Stress & Health, University of California School of Medicine, Irvine, CA, USA. 3. Central Michigan University College of Medicine, Mount Pleasant, MI, USA. 4. UC Irvine Health, Orange, CA, USA. 5. Sue & Bill Gross School of Nursing, University of California, Irvine, CA, USA. 6. Department of Pediatric Psychology, CHOC Children's, Orange, CA, USA. 7. Department of Anesthesiology and Perioperative Care, University of California, Irvine, CA, USA. 8. Health Policy Research Institution, University of California, Irvine, CA, USA. 9. Center on Stress & Health, University of California School of Medicine, Irvine, CA, USA. zkain@uci.edu. 10. Department of Anesthesiology and Perioperative Care, University of California, Irvine, CA, USA. zkain@uci.edu. 11. Department of Psychological Science, University of California, Irvine, CA, USA. zkain@uci.edu. 12. Yale Child Study Center, Yale University, New Haven, CT, USA. zkain@uci.edu. 13. Department of Pediatrics, CHOC Children's, Orange, CA, USA. zkain@uci.edu.
Abstract
BACKGROUND: Although there has been a rising emphasis on patient-centered care, limited research has assessed differences in patient experience based on ethnicity and language. METHODS: This study examined differences in quality of care (N = 6945) using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Data were collected between January 2014 and April 2019. Bivariate and multivariate analyses assessed relationships between ethnicity/language with individual items capturing specific components of care and global hospital evaluations using regression modeling. RESULTS: Compared to English-speaking non-Hispanic White patients, Spanish-speaking Hispanic/Latinx patients reported more positive interactions with nurses, physicians, and the hospital environment and reported a better understanding of care after discharge. Findings also indicated that Spanish-speaking Hispanic/Latinx patients were more satisfied with their experience compared to non-Hispanic White patients. DISCUSSION: Spanish-speaking Hispanic/Latinx patients were more satisfied with specific components of care and also scored higher in a measure of the global patient experience. Findings suggest the need for setting clear expectations for health care encounters and adapting health system responses to better capture factors driving Hispanic/Latinx patient satisfaction.
BACKGROUND: Although there has been a rising emphasis on patient-centered care, limited research has assessed differences in patient experience based on ethnicity and language. METHODS: This study examined differences in quality of care (N = 6945) using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Data were collected between January 2014 and April 2019. Bivariate and multivariate analyses assessed relationships between ethnicity/language with individual items capturing specific components of care and global hospital evaluations using regression modeling. RESULTS: Compared to English-speaking non-Hispanic White patients, Spanish-speaking Hispanic/Latinx patients reported more positive interactions with nurses, physicians, and the hospital environment and reported a better understanding of care after discharge. Findings also indicated that Spanish-speaking Hispanic/Latinx patients were more satisfied with their experience compared to non-Hispanic White patients. DISCUSSION: Spanish-speaking Hispanic/Latinx patients were more satisfied with specific components of care and also scored higher in a measure of the global patient experience. Findings suggest the need for setting clear expectations for health care encounters and adapting health system responses to better capture factors driving Hispanic/Latinx patient satisfaction.
Authors: Candice D Donaldson; Theodore W Heyming; Louis Ehwerhemuepha; Brooke N Jenkins; Michelle A Fortier; William Feaster; Zeev N Kain Journal: West J Emerg Med Date: 2021-09-02