Abstract
In this paper, we describe an anonymous cross-sectional survey with a sample of 100 racially diverse adult oncology patients using a newly developed patient-reported measure of providers’ cultural competence, the Physicians’ Cultural Competence for Patient Satisfaction Scale (PCCPS) [1, 2], which was developed using a US midwestern sample of primary care patients. Our primary aims were to examine the reliability of the PCCPS in a more racially diverse urban oncology clinical setting and to identify salient domains of oncology provider cultural competence based on patient-reported satisfaction with direct clinical encounters. Results suggest that patient-reported satisfaction was significantly associated with one of the four domains measured by the PCCPS, physician’s patient-centered cultural competence (r = 0.40, p = 0.01), and female patients were more satisfied (t (91) = 5.23, p = 0.02). The PCCPS demonstrated good reliability in an urban diverse cancer patient population. Results help to inform the development of clinical tools that can improve oncology providers’ cultural competency.
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References
Ahmed R (2007) Assessing the role of cultural differences on health care receivers’ perceptions of health care providers’ cultural competence in health care interactions. Ohio University, Athens
Ahmed R, Bates B, Romina S (2008) Assessing the influence of patients’ perceptions of physicians’ cultural competence on patient satisfaction in an Appalachian Ohio context. NCA 94th Annual Convention, San Diego
American Cancer Society (2009) Cancer facts and figures
U.S. Department of Health and Human Services (2001) Mental health: culture, race and ethnicity—a supplement to mental health: a report of the surgeon general
Arora NK (2003) Interacting with cancer patients: the significance of physicians’ communication behavior. Soc Sci Med 57:791–806. doi:10.1016/S0277-9536(02)00449-5
Moseley KL, Freed GL, Bullard CM, Goold SD (2007) Measuring African-American parents’ cultural mistrust while in a healthcare setting: a pilot study. J Natl Med Assoc 99:15–21
Watkins CE Jr, Terrell F (1988) Mistrust level and its effects on counseling expectations in Black client-White counselor relationships: an analogue study. J Couns Psychol 35:194–197. doi:10.1037/0022-0167.35.2.194
Flynn KE, Smith MS, Vanness D (2006) A typology of preferences for participation in healthcare decision making. Soc Sci Med 63:1158–1169. doi:10.1016/j.socscimed.2006.03.030
Kravitz RL, Melnikow J (2001) Engaging patients in medical decision making. Br Med J 323:584–584. doi:10.1136/bmj.323.7313.584
Langer N (1999) Culturally competent professionals in therapeutic alliance enhance patient compliance. J Health Care Poor Underserved 10:19–26
Surbone A (2008) Cultural aspects of communication in cancer care. Support Care Cancer 16:235–240. doi:10.1007/s00520-007-0366-0
Smith RA, Cokkinides V, Brawley OW (2009) Cancer screening in the United States 2009: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin 59:27–41. doi:10.3322/caac.20008
Lie DA, Lee-Rey E, Gomez A, Bereknyei S, Braddock CH (2010) Does cultural competency training of health professionals improve patient outcomes? A systematic review and proposed algorithm for future research. J Gen Intern Med 26:317–325. doi:10.1007/s11606-010-1529-0
Price EG, Beach MC, Garry TL et al (2005) A systematic review of the methodological rigor of studies evaluating cultural competence training of health professionals. Acad Med 80:578–586
Brach C, Fraser I (2000) Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med Care Res Rev 57(suppl 1):181–217. doi:10.1177/1077558700574009
Khanna SK, Cheyney M, Engle M (2009) Cultural competency in health care: evaluating the outcome of a cultural competency training among health care professionals. J Med Assoc 101:886–892
Goss E, Lopez AM, Brown CL, Wollins DS, Brawley OW, Raghavan D (2009) American Society of Clinical Oncology policy statement: disparities in cancer care. J Clin Oncol 27:2881–2885. doi:10.1200/JCO.2008.21.1680
Tucker CM, Mirsu-Paun A, Van den Berg JJ et al (2007) Assessments for measuring patient-centered cultural sensitivity in community-based primary care clinics. J Natl Med Assoc 99:609–619
Quinn GP, Jimenez J, Meade D et al (2011) Enhancing oncology health care provider’s sensitivity to cultural communication to reduce cancer disparities: a pilot study. J Cancer Educ 26:322–325
Napoles-Springer AM, Santoyo J, Houston K, Perez-Stable EJ, Stewart AL (2005) Patients’ perceptions of cultural factors affecting the quality of their medical encounters. Health Expect 8:4–17. doi:10.1111/j.1369-7625.2004.00298.x
De Vries AMM, de Roten Y, Meystre C, Passchier J, Despland JN, Stiefel F (2013) Clinician characteristics, communication, and patient outcome: a systematic review. Psychooncology. doi:10.1002/pon.3445
Beach MC, Rosner M, Cooper LA, Duggan PS, Shatzer J (2007) Can patient-centered attitudes reduce racial and ethnic disparities in care? Acad Med 82:193–198. doi:10.1097/ACM.0b013e31802d94b2
Epstein RM, Fiscella K, Lesser CS, Strange KC (2010) Why the nation needs a policy push on patient-centered healthcare. Health Aff 29:1489–1495. doi:10.1377/hlthaff.2009.0888
Step MM, Hannum Rose J, Albert JM, Cheruvu VK, Siminoff LA (2009) Modeling patient-centered communication: oncologist relational communication and patient communication involvement in breast adjuvant therapy decision-making. Patient Educ Couns 77:369–378. doi:10.1016/j.pec.2009.09.010
Núñez AE (2000) Transforming cultural competence into cross-cultural efficacy in women’s health education. Acad Med 75:1071–1080
Núñez AE (2003) Looking within to see the outside better: a course on enhancing effectiveness in cross-cultural care. Hahnemann University, Philadelphia, Cited in 2001 Institute of Medicine report as an example of curricular excellence
Núñez, AE co-editor (2008) Achieving cultural competency: a case-based approach for training health professionals. DeLisser, H. Hark L. Editors; Morrison, G. Senior Editor. Blackwell Publishers
Acknowledgments
We thank the patients who volunteered for this pilot study at such a challenging time in their lives and the oncologists and medical staff who helped with the survey study, especially Dr. Ari Brooks and Dr. Lydia Komarnicky.
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Davey, M.P., Waite, R., Nuñez, A. et al. A Snapshot of Patients’ Perceptions of Oncology Providers’ Cultural Competence. J Canc Educ 29, 657–664 (2014). https://doi.org/10.1007/s13187-014-0619-9
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DOI: https://doi.org/10.1007/s13187-014-0619-9