Original Paper

Journal of Immigrant and Minority Health

, Volume 15, Issue 3, pp 517-524

Differences in Patient-Reported Experiences of Care by Race and Acculturation Status

  • Memoona HasnainAffiliated withDepartment of Family Medicine, College of Medicine, University of Illinois at ChicagoDepartment of Medical Education, University of Illinois at Chicago Email author 
  • , Alan SchwartzAffiliated withDepartment of Medical Education, University of Illinois at Chicago
  • , Jorge GirottiAffiliated withDepartment of Medical Education, University of Illinois at Chicago
  • , Angela BixbyAffiliated withDepartment of Family Medicine, College of Medicine, University of Illinois at Chicago
  • , Luis RiveraAffiliated withDepartment of Family Medicine, College of Medicine, University of Illinois at Chicago
  • , and the UIC Experiences of Care Project Group

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Abstract

Patient-reported experiences of care are an important focus in health disparities research. This study explored the association of patient-reported experiences of care with race and acculturation status in a primary care setting. 881 adult patients (African-American 34 %; Hispanic—classified as unacculturated or biculturated—31 %; Caucasian 33 %; missing race 2 %), in outpatient Family Medicine clinics, completed a written survey in Spanish or English. Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician & Group (CAG) Survey Adult Primary Care instrument was used for experiences of care and Short Form-12 survey for health status. Controlling for other variables, race and acculturation were significantly associated with several CAG subscales. Hispanic patients gave significantly higher ratings for care experiences and expressed greater interest in shared decision making. Selected patient-reported measures of care are associated with patients’ race and acculturation status (for Hispanic patients). We discuss implications for both provision and measurement of quality care.

Keywords

Patient-centered care Acculturation Cultural competence Quality care