Orom Heather
Department of Community Health and Health Behavior, University at Buffalo, 304 Kimball Tower, 3435 Main St., Buffalo, NY, 14214, USA.
J Immigr Minor Health. 2016 Jun;18(3):636-643. doi: 10.1007/s10903-015-0218-9.
Perceptions of healthcare quality are lower among foreign- than US-born individuals. The objective of the study was to identify possible explanations for this disparity. Data were from 6202 respondents to cycles 1 and 2 of the Health Information National Trends Survey 4 conducted 2011-2013, including 5425 US-born and 777 foreign-born respondents. Perceived quality of healthcare was lower among foreign-born than US-born respondents, accounted for, to some degree (19.5 %), by foreign-born respondents experiencing relatively less patient-centered healthcare provider communication than US-born respondents. More patient-centered provider communication was associated with receiving higher quality healthcare in all respondents. Having a regular provider was associated with perceived quality of care in foreign-born but not US-born respondents, and the reverse was true for frequency of care. Patient centered provider communication and continuity of care may be key targets for improving quality of care for foreign-born individuals.
与在美国出生的人相比，外国出生的人对医疗质量的看法较低。本研究的目的是找出造成这种差异的可能原因。数据来自2011 - 2013年进行的第4轮健康信息国家趋势调查第1轮和第2轮的6202名受访者，其中包括5425名在美国出生的受访者和777名外国出生的受访者。外国出生的受访者对医疗质量的感知低于在美国出生的受访者，在一定程度上（19.5%），这是由于外国出生的受访者比在美国出生的受访者经历的以患者为中心的医疗服务提供者沟通相对较少。在所有受访者中，更多以患者为中心的提供者沟通与接受更高质量的医疗服务相关。有固定的医疗服务提供者与外国出生的受访者对医疗质量的感知相关，但与在美国出生的受访者无关，而就诊频率则相反。以患者为中心的提供者沟通和医疗服务的连续性可能是提高外国出生者医疗质量的关键目标。
