Risk Factors for Reporting Poor Cultural Competency Among Patients With Diabetes in Safety Net Clinics

Datos Bibliográficos

ID9101182
AutoresHilary K Seligman (0000-0003-2292-5189, University of California, San Francisco, autor de correspondencia), Alicia Fernandez (0000-0002-7975-6614, University of California, San Francisco, autor de correspondencia), Rachel J Stern (University of California, San Francisco, autor de correspondencia), Robert Weech-Maldonado (0000-0002-5005-0909, University of Alabama at Birmingham), Judy Quan (University of California, San Francisco, autor de correspondencia), Elizabeth A Jacobs (0000-0002-5549-7718, University of Wisconsin–Madison)
Año2012
Volumen50
Número9 Suppl 2
PáginasS56-S61
Fecha de publicación2012-09-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e3182640adf
PMID22895232
PMCIDPMC3466108
OpenAlexW2029537568
IdiomaEN
Citas recibidas2
Referencias citadas18

BACKGROUND: The Consumer Assessment of Healthcare Providers and Systems Cultural Competency Item Set assesses patient perceptions of aspects of the cultural competence of their health care. OBJECTIVE: To determine characteristics of patients who identify the care they receive as less culturally competent. RESEARCH DESIGN: Cross-sectional survey consisting of face-to-face interviews. SUBJECTS: Safety-net population of patients with type 2 diabetes (n=600) receiving ongoing primary care. MEASURES: Participants completed the Consumer Assessment of Healthcare Providers and Systems Cultural Competency and answered questions about their race/ethnicity, sex, age, education, health status, depressive symptoms, insurance coverage, English proficiency, duration of relationship with primary care provider, and comorbidities. RESULTS: In adjusted models, depressive symptoms were significantly associated with poor cultural competency in the Doctor Communication--Positive Behaviors domain [odds ratio (OR) 1.73, 95% confidence interval, 1.11-2.69]. African Americans were less likely than whites to report poor cultural competence in the Doctor Communication--Positive Behaviors domain (OR 0.52, 95% CI, 0.28-0.97). Participants who reported a longer relationship (≥ 3 y) with their primary care provider were less likely to report poor cultural competence in the Doctor Communication--Health Promotion (OR 0.35, 95% CI, 0.21-0.60) and Trust domains (OR 0.4, 95% CI, 0.24-0.67), whereas participants with lower educational attainment were less likely to report poor cultural competence in the Trust domain (OR 0.51, 95% CI, 0.30-0.86). Overall, however, sociodemographic and clinical differences in reports of poor cultural competence were insignificant or inconsistent across the various domains of cultural competence examined. CONCLUSIONS: Cultural competence interventions in safety-net settings should be implemented across populations, rather than being narrowly focused on specific sociodemographic or clinical groups

Competence (human resources) · Cultural competence · Environmental health · Ethnic group · Family medicine · Health care · Odds ratio · Population · Cultural Competency in Health Care · Global Cancer Incidence and Screening · Interpreting and Communication in Healthcare · Medicine · Psychology · Social Psychology