Asian Americans’ reports of their health care experiences
- 76 Downloads
OBJECTIVE: To examine how Asian race/ethnicity affects patients’ health care experiences and satisfaction with care.
DESIGN: Telephone interview using random-digit dialing, stratified to over-sample adults living in areas with disproportionately large numbers of minorities.
PARTICIPANTS AND SETTING: White (N=3,205) and Asian-American (N=521) respondents, weighted to represent all such adults living in the continental U.S. in telephone households.
MEASUREMENTS: Reports of health care experiences and trust in the doctor at the last visit, and overall satisfaction with care and desire to change doctors in the last 2 years.
MAIN RESULTS: Asian Americans were less likely than whites to report that their doctors ever talked to them about lifestyle or mental health issues (P≤.01). They were more likely to report that their regular doctors did not understand their background and values (P≤.01). When asked about the last visit, they were more likely to report that their doctors did not listen, spend as much time, or involve them in decisions about care as much as they wanted (all P≤.0001). In multivariable analyses, Asian Americans were less likely than whites to report that they were very satisfied with care (odds ratio [OR], 0.64, 95% confidence interval [CI], 0.42 to 0.99). However, they were not significantly less likely than whites to trust their doctors (OR, 0.79, 95% CI, 0.52 to 1.20), or to change doctors (OR, 0.93, 95% CI, 0.56 to 1.56).
CONCLUSIONS: In a national survey, Asian Americans were less likely to receive counseling and less likely to report positive interactions with their doctors than white respondents. More research is needed to determine the reasons for these differences.
Key wordsAsian Americans health care ethnic groups HMO quality of care
Unable to display preview. Download preview PDF.
- 1.Barnes JS, Bennett CE. The Asian Population: 2002. Washington, DC: US Census Bureau; 2000: C2KBR/01-16.Google Scholar
- 2.Shinagawa SM, Kagawa-Singer M, Chen MS, Tsark JU, Palafox NA, Mackura G. Cancer registries and data for Asian Americans and Native Hawaiians and Pacific Islanders: what registrars need to know. J Registry Manage. 1999;26:128–41.Google Scholar
- 4.Asian/Pacific Islander Consortium. Asian and Pacific Islander Americans: A Profile of Socioeconomic Characteristics—1990. San Francisco; 1992.Google Scholar
- 5.Smedley B, Stith A, Nelson A, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Institute of Medicine Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Washington, DC: National Academy Press; 2002.Google Scholar
- 6.The Henry J. Kaiser Family Foundation. Health Insurance Coverage in America — 1999 Data Update. Washington, DC; 2000.Google Scholar
- 7.National Center for Health Care Statistics. Healthy People 2000 Review, 1997. Hyattsville, Md: Public Health Service; 1997.Google Scholar
- 8.Miller B, Kolonel L, Bernstein L, et al. eds. Racial/Ethnic Patterns of Cancer in the United States 1988–92, National Cancer Institute. NIH Pub. No. 96-4104. Bethesda, Md: NIH; 1996.Google Scholar
- 12.Murray-Garcia JL, Selby JV, Schmittdiel J, Grumbach K, Quesenberry CP Jr. Racial and ethnic differences in a patient survey: patients’ values, ratings, and reports regarding physician primary care performance in a large health maintenance organization. Med Care. 2000;38:300–10.PubMedCrossRefGoogle Scholar
- 13.Collins KS, Hughes D, Doty MS, Ives BL, Edwards JN, Tenney K. Diverse Communities Common Concerns: Assessing the Health Quality for Minority Americans. New York: The Commonwealth Fund; 2002.Google Scholar
- 14.US Bureau of Census for the Bureau of Labor Statistics. Current population survey. Bureau of Labor Statistics. Available at: http://www.bls.gov/cps/home.htm. Accessed September 2, 2003.Google Scholar
- 18.Donabedian A. The Definition of Quality and Approaches to its Assessment, vol. 1. Ann Arbor, Mich: Health Administration Press; 1980.Google Scholar
- 19.McGlynn B. Evaluating the quality of care. In: Andersen RM, Rice TH, Kominski GF, eds. Changing the US Healthcare System, 2nd edn. San Francisco: Jossey-Bass; 2001.Google Scholar
- 21.SAS. Statistical Software. [computer program], Version 8.1 for Windows. Cary, NC; 1999.Google Scholar
- 22.SUDAAN. Software for the Statistical Analysis of Correlated Data. [computer program], Version 7.5.6 for Windows. Research Triangle Park, NC; 2002.Google Scholar
- 27.Kagawa-Singer M. Issues affecting Asian American and Pacific American women. In: Hassey-Dow, ed. Contemporary Issues in Breast Cancer. Boston: Jones and Bartlett; 1996.Google Scholar