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Migration background and patient satisfaction in a pediatric nephrology outpatient clinic

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Abstract

Background

We examined the association of a migration background and patient satisfaction in a pediatric nephrology outpatient clinic in Germany.

Methods

This was a cross-sectional study of 348 families presenting at the Pediatric Nephrology Outpatient Department of Charité University Children’s Hospital in Berlin during 2008. Parents were asked to complete a questionnaire containing basic sociodemographic information, a subjective categorical rating of disease severity and communication with the medical team, and a validated patient satisfaction score (ZUF-8) derived from a customer satisfaction score used by industry and modified for healthcare providers.

Results

Of the 348 families included in the study, 131 patients (38 %) had a migration background (20 different nationalities, 22 different native languages). Patient satisfaction (rated on a scale from 8 to 40) was significantly higher in families without (32.9 ± 4.6) than in those with a migration background (30.8 ± 4.7; p < 0.0001). A multivariate linear regression analysis revealed that trust in doctors, friendliness of the doctor, severity of the child’s disease, number of medications prescribed, and a migration background were significantly and independently correlated with patient satisfaction.

Conclusions

Migrant families were less satisfied with the provision of the outpatient care provided by our department than non-migrants.

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References

  1. Flores G, Olson L, Tomany-Korman SC (2005) Racial and ethnic disparities in early childhood health and health care. Pediatrics 115:e183–e193

    Article  PubMed  Google Scholar 

  2. Lanting LC, Bootsma AH, Lamberts SW, Mackenbach JP, Joung IM (2008) Ethnic differences in internal medicine referrals and diagnosis in the Netherlands. BMC Publ Health 8:287

    Article  Google Scholar 

  3. Lange M, Kamtsiuris P, Lange C, Schaffrath Rosario A, Stolzenberg H, Lampert T (2007) Sociodemographic characteristics in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)—operationalisation and public health significance, taking as an example the assessment of general state of health. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:578–589

    Article  PubMed  CAS  Google Scholar 

  4. Brotanek JM, Gosz J, Weitzman M, Flores G (2007) Iron deficiency in early childhood in the United States: risk factors and racial/ethnic disparities. Pediatrics 120:568–575

    Article  PubMed  Google Scholar 

  5. Schmidt J, Lamprecht F, Wittmann WW (1989) Satisfaction with inpatient management. Development of a questionnaire and initial validity studies. Psychother Psychosom Med Psychol 39:248–255

    PubMed  CAS  Google Scholar 

  6. Richter M, Schmid-Ott G, Muthny FA (2011) Subjective requirements for psychosomatic rehabilitation and their influence on patient satisfaction - "basic, performance and excitement factors" according to Kano. Gesundheitswesen 73:169–176

    Article  PubMed  CAS  Google Scholar 

  7. Larisch A, Reuss A, Oertel WH, Eggert K (2011) Does the clinical practice guideline on Parkinson's disease change health outcomes? A cluster randomized controlled trial. J Neurol 258:826–834

    Article  PubMed  Google Scholar 

  8. BfAu S (2010) Verordnung zur Erhebung der Merkmale des Migrationshintergrundes (Migrationshintergrund-Erhebungsverordnung—MighEV). Bundesgesetzblatt 50:1372–1373

    Google Scholar 

  9. Attkisson CC, Zwick R (1982) The client satisfaction questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome. Eval Program Plann 5:233–237

    Article  PubMed  CAS  Google Scholar 

  10. Latour JM, Hazelzet JA, van der Heijden AJ (2005) Parent satisfaction in pediatric intensive care: a critical appraisal of the literature. Pediatr Crit Care Med 6:578–584

    Article  PubMed  Google Scholar 

  11. Roberts RE, Attkisson CC (1983) Assessing client satisfaction among Hispanics. Eval Program Plann 6:401–413

    Article  PubMed  CAS  Google Scholar 

  12. Jayadevappa R, Schwartz JS, Chhatre S, Wein AJ, Malkowicz SB (2010) Satisfaction with care: a measure of quality of care in prostate cancer patients. Med Decision Making 30:234–245

    Article  Google Scholar 

  13. Wilson A, Hewitt G, Matthews R, Richards SH, Shepperd S (2006) Development and testing of a questionnaire to measure patient satisfaction with intermediate care. Qual Saf Health Care 15:314–319

    Article  PubMed  CAS  Google Scholar 

  14. Furth SL, Hwang W, Neu AM, Fivush BA, Powe NR (2003) Effects of patient compliance, parental education and race on nephrologists' recommendations for kidney transplantation in children. Am J Transplant 3:28–34

    Article  PubMed  Google Scholar 

  15. McLearn KT, Strobino DM, Hughart N, Minkovitz CS, Scharfstein D, Marks E, Guyer B (2004) Developmental services in primary care for low-income children: clinicians' perceptions of the Healthy Steps for Young Children program. J Urban Health 81:206–221

    Article  PubMed  Google Scholar 

  16. Minkovitz C, Strobino D, Hughart N, Scharfstein D, Guyer B (2001) Early effects of the healthy steps for young children program. Arch Pediatr Adolesc Med 155:470–479

    PubMed  CAS  Google Scholar 

  17. Weller WE, Minkovitz CS, Anderson GF (2003) Utilization of medical and health-related services among school-age children and adolescents with special health care needs (1994 National Health Interview Survey on Disability [NHIS-D] Baseline Data). Pediatrics 112:593–603

    Article  PubMed  Google Scholar 

  18. Kurth BM, Schaffrath Rosario A (2007) The prevalence of overweight and obese children and adolescents living in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:736–743

    Article  PubMed  Google Scholar 

  19. Lob-Corzilius T (2007) Overweight and obesity in childhood–a special challenge for public health. Int J Hyg Environ Health 210:585–589

    Article  PubMed  Google Scholar 

  20. Ravens-Sieberer U, Erhart M, Wille N, Bullinger M (2008) Health-related quality of life in children and adolescents in Germany: results of the BELLA study. Eur Child Adolesc Psychiatry 17[Suppl 1]:148–156

    Article  PubMed  Google Scholar 

  21. Bischoff A, Perneger TV, Bovier PA, Loutan L, Stalder H (2003) Improving communication between physicians and patients who speak a foreign language. Br J Gen Pract 53:541–546

    PubMed  Google Scholar 

  22. Weech-Maldonado R, Morales LS, Elliott M, Spritzer K, Marshall G, Hays RD (2003) Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. Health Serv Res 38:789–808

    Article  PubMed  Google Scholar 

  23. Weech-Maldonado R, Morales LS, Spritzer K, Elliott M, Hays RD (2001) Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. Health Serv Res 36:575–594

    PubMed  CAS  Google Scholar 

  24. Morales LS, Elliott M, Weech-Maldonado R, Hays RD (2006) The impact of interpreters on parents' experiences with ambulatory care for their children. Med Care Res Rev 63:110–128

    Article  PubMed  Google Scholar 

  25. David M, Braun T, Borde T (2004) Pain and ethnicity—results of a survey at three internal/gynecological first-aid stations in Berlin. Zentralbl Gynakol 126:81–86

    Article  PubMed  CAS  Google Scholar 

  26. Franz M, Lujic C, Koch E, Wusten B, Yuruk N, Gallhofer B (2007) Subjective illness beliefs of Turkish migrants with mental disorders–specific characteristics compared to german patients. Psychiatr Prax 34:332–338

    Article  PubMed  Google Scholar 

  27. von Ferber L, Koster I, Celayir-Erdogan N (2003) Turkish and German patients of general practitioners—diseases, drug expectations and drug prescriptions. Gesundheitswesen 65:304–311

    Article  Google Scholar 

  28. Crossley J, Eiser C, Davies HA (2005) Children and their parents assessing the doctor-patient interaction: a rating system for doctors' communication skills. Med Educ 39:820–828

    Article  PubMed  Google Scholar 

  29. Thom DH, Ribisl KM, Stewart AL, Luke DA (1999) Further validation and reliability testing of the Trust in Physician Scale. The Stanford Trust Study Physicians. Med Care 37:510–517

    Article  PubMed  CAS  Google Scholar 

  30. Moseley KL, Clark SJ, Gebremariam A, Sternthal MJ, Kemper AR (2006) Parents' trust in their child's physician: using an adapted Trust in Physician Scale. Ambul Pediatr 6:58–61

    Article  PubMed  Google Scholar 

  31. Byczkowski TL, Kollar LM, Britto MT (2010) Family experiences with outpatient care: do adolescents and parents have the same perceptions? J Adolesc Health 47:92–98

    Article  PubMed  Google Scholar 

  32. Mangione-Smith R, McGlynn EA (1998) Assessing the quality of healthcare provided to children. Health Serv Res 33:1059–1090

    PubMed  CAS  Google Scholar 

  33. Mangione-Smith R (2007) Bridging the quality chasm for children: need for valid, comprehensive measurement tools. Arch Pediatr Adolesc Med 161:909–910

    Article  PubMed  Google Scholar 

  34. Brutt AL, Sandberg DE, Chaplin J, Wollmann H, Noeker M, Koltowska-Haggstrom M, Bullinger M (2009) Assessment of health-related quality of life and patient satisfaction in children and adolescents with growth hormone deficiency or idiopathic short stature—part 1: a critical evaluation of available tools. Horm Res 72:65–73

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Nephrology, Charité Universitätsmedizin Berlin, Berlin, Germany

    Dan Züllich, Miriam Zimmering & Uwe Querfeld

  2. Institute of Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin Berlin, Berlin, Germany

    Thomas Keil

  3. Klinik für Pädiatrie mit Schwerpunkt Nephrologie, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany

    Uwe Querfeld

Authors
  1. Dan Züllich
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  2. Miriam Zimmering
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  3. Thomas Keil
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  4. Uwe Querfeld
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Correspondence to Uwe Querfeld.

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Züllich, D., Zimmering, M., Keil, T. et al. Migration background and patient satisfaction in a pediatric nephrology outpatient clinic. Pediatr Nephrol 27, 1309–1316 (2012). https://doi.org/10.1007/s00467-012-2133-9

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  • DOI: https://doi.org/10.1007/s00467-012-2133-9

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