Advances in Measuring Culturally Competent Care
A Confirmatory Factor Analysis of CAHPS-CC in a Safety-Net Population
Bibliographic Data
| ID | 9099268 |
|---|---|
| Authors | Rachel J Stern (corresponding author), Alicia Fernandez (0000-0002-7975-6614, University of California, San Francisco, corresponding author), Elizabeth A Jacobs (0000-0002-5549-7718, University of Wisconsin–Madison), Torsten B Neilands (0000-0001-7936-9123, San Francisco AIDS Foundation), Robert Weech-Maldonado (0000-0002-5005-0909, University of Alabama), Judy Quan (University of California, San Francisco, corresponding author), A C Carle (0000-0002-3552-6534, University of Cincinnati Medical Center), Adam Carle, Hilary K Seligman (0000-0003-2292-5189, University of California, San Francisco, corresponding author) |
| Year | 2012 |
| Volume | 50 |
| Issue | 9 Suppl 2 |
| Pages | S49-S55 |
| Publication date | 2012-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e31826410fb |
| PMID | 22895231 |
| PMCID | PMC3466106 |
| OpenAlex | W2034275884 |
| Language | EN |
| Citations received | 8 |
| References cited | 26 |
BACKGROUND: Providing culturally competent care shows promise as a mechanism to reduce health care inequalities. Until the recent development of the Consumer Assessment of Healthcare Providers and Systems Cultural Competency Item Set (CAHPS-CC), no measures capturing patient-level experiences with culturally competent care have been suitable for broad-scale administration. METHODS: We performed confirmatory factor analysis and internal consistency reliability analysis of CAHPS-CC among patients with type 2 diabetes (n=600) receiving primary care in safety-net clinics. CAHPS-CC domains were also correlated with global physician ratings. RESULTS: A 7-factor model demonstrated satisfactory fit (χ2231=484.34, P<0.0001) with significant factor loadings at P<0.05. Three domains showed excellent reliability-Doctor Communication-Positive Behaviors (α=0.82), Trust (α=0.77), and Doctor Communication-Health Promotion (α=0.72). Four domains showed inadequate reliability either among Spanish speakers or overall (overall reliabilities listed): Doctor Communication-Negative Behaviors (α=0.54), Equitable Treatment (α=0.69), Doctor Communication-Alternative Medicine (α=0.52), and Shared Decision-Making (α=0.51). CAHPS-CC domains were positively and significantly correlated with global physician rating. CONCLUSIONS: Select CAHPS-CC domains are suitable for broad-scale administration among safety-net patients. Those domains may be used to target quality-improvement efforts focused on providing culturally competent care in safety-net settings
Confirmatory factor analysis · Environmental health · Family medicine · Health care · Patient safety · Patient satisfaction · Promotion (chess) · Quality (philosophy) · Rating scale · Reliability (semiconductor) · Safety net · Scale (ratio) · Structural equation modeling · Cultural Competency in Health Care · Interpreting and Communication in Healthcare · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology
Undocumented Immigration Status and Diabetes Care Among Mexican Immigrants In Two Immigration “Sanctuary” Areas
Risk Factors for Reporting Poor Cultural Competency Among Patients With Diabetes in Safety Net Clinics
Exploring the Impact of Health Care Provider Cultural Competence on New Immigrant Health-Related Quality of Life
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Cultural Competence (CC) Item Set
Associations Between Aspects of Culturally Competent Care and Clinical Outcomes Among Patients With Diabetes
Aspects of Culturally Competent Care are Associated With Less Emotional Burden Among Patients With Diabetes
Factor Structure of the Cultural Competence Items in the National Home and Hospice Care Survey
Validly Interpreting Patients’ Reports
Factor Analytic Models
Can Cultural Competency Reduce Racial and Ethnic Health Disparities? A Review and Conceptual Model
Culturally competent healthcare systems
Do Professional Interpreters Improve Clinical Care for Patients with Limited English Proficiency? A Systematic Review of the Literature
Cutoff criteria for fit indexes in covariance structure analysis
The PHQ-9
Cultural Competence And Health Care Disparities
Coefficient alpha and the internal structure of tests
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Cultural Competence (CC) Item Set
Does the Consumer Assessment of Healthcare Providers and Systems Cultural Competence Survey Provide Equivalent Measurement Across English and Spanish Versions
National Quality Monitoring of Medicare Health Plans
Survey Response Style and Differential Use of CAHPS Rating Scales by Hispanics
Cultural Competence
Influence of Patient-Provider Communication on Colorectal Cancer Screening
Improper Solutions in Structural Equation Models
| Unique citing works | 8 |
|---|---|
| Citations per year | 0,57 |
| Citation span | 2012 - 2021 (10) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |