Georgia State University, Atlanta, GA, USA.
Department of Population Health, New York University School of Medicine, New York, NY, USA.
Patient Educ Couns. 2021 May;104(5):1049-1058. doi: 10.1016/j.pec.2020.10.002. Epub 2020 Oct 6.
Patient-provider communication is essential for patient-centered care, yet Asian American immigrant populations face barriers. We aim to describe: 1) patient-reported communication-related characteristics for 16 disaggregated Asian American subgroups; and 2) the association of patient comprehension of provider communication with socio-demographics, language proficiency and concordance, and perceived cultural sensitivity in this population.
Descriptive statistics are presented for 1269 Asian American immigrants responding to cross-sectional, venue-sampled surveys conducted in New York City. Logistic regression models examine predictors of low comprehension of provider communication.
Approximately 11% of respondents reported low comprehension of provider communication: lowest among South Asians and highest among Southeast Asians. Eighty-four percent were language-concordant with their provider, 90.1% agreed that their provider understood their background and values, and 16.5% felt their provider looked down on them. Low comprehension of provider communication was significantly associated with Southeast Asian subgroup, less education, limited English proficiency, public health insurance, patient-provider language discordance, and perceived low cultural understanding.
Among our sample, language and cultural sensitivity are associated with comprehension of provider communication.
Strategies improving language access and cultural sensitivity may be important for Asian immigrant patients. These could include interpretation services, bilingual community-based providers, and cultural sensitivity training.
医患沟通对于以患者为中心的护理至关重要，但亚裔美国移民群体面临障碍。我们旨在描述：1）16 个细分亚裔美国亚群体的患者报告的与沟通相关的特征；以及 2）在该人群中，患者对提供者沟通的理解与社会人口统计学、语言熟练程度和一致性以及感知的文化敏感性之间的关联。
呈现了 1269 名亚裔美国移民对在纽约市进行的基于场所抽样的横断面调查的回复的描述性统计数据。逻辑回归模型检查了提供者沟通理解能力低的预测因素。
约有 11%的受访者表示提供者的沟通难以理解：南亚裔最低，东南亚裔最高。84%的人与提供者的语言一致，90.1%的人同意他们的提供者了解他们的背景和价值观，16.5%的人觉得他们的提供者看不起他们。提供者沟通理解能力低与东南亚亚群体、受教育程度较低、英语水平有限、公共医疗保险、医患语言不一致以及感知文化理解度低显著相关。
在我们的样本中，语言和文化敏感性与提供者沟通的理解能力相关。
提高语言获取和文化敏感性的策略可能对亚裔移民患者很重要。这些策略可能包括口译服务、双语社区提供者和文化敏感性培训。
