Spanish-Speaking Patients Perceive High Quality Care in Resident Continuity Practices: A CORNET Study

Abstract

Prior research has demonstrated that limited English proficiency in Hispanic patients is associated with adverse health outcomes. The authors sought to compare the perception of primary care in resident practices between Spanish-speaking and English-speaking parents using a previously validated tool, the Parents' Perception of Primary Care. Using survey results from 19 CORNET sites nationwide, they compared mean scores for each primary care domain and the full scale between the groups using Student's t test. Multiple linear regression models compared outcomes controlling for demographic variables. Of the 2122 analyzable surveys, 490 (23%) were completed in Spanish and 1632 (77%) in English. The mean scores for each domain and the total scale were not statistically different between the 2 groups. After adjustment, Spanish-speaking parents rated communication significantly higher. Resident clinics may use systems to provide high quality care to Spanish-speaking patients, which may help other sites improve care.

Keywords

translation services quality of care continuity Spanish speaking limited English proficiency CORNET

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References

Institute of Medicine. Envisioning the National Health Care Quality Report. Washington, DC : National Academies Press; 2001 .

Lurie N. , Dubowitz T. Health disparities and access to health. JAMA. 2007;297:1118-1121.

Johnstone MJ , Kanitsaki O. Culture, language, and patient safety: making the link. Int J Qual Health Care. 2006;18:383-388.

Ngui EM , Flores G. Satisfaction with care and ease of using health care services among parents of children with special health care needs: the roles of race/ethnicity, insurance, language, and adequacy of family-centered care. Pediatrics . 2006;117:1184-1196.

Hampers LC , Cha S. , Gutglass DJ , Binns HJ , Krug SE Language barriers and resource utilization in a pediatric emergency department . Pediatrics. 1999;103(6, pt 1):1253-1256.

Cohen AL , Rivara F. , Marcuse EK , McPhillips H. , Davis R. Are language barriers associated with serious medical events in hospitalized pediatric patients? Pediatrics. 2005;116:575-579.

Department of Health and Human Services. Guidance to federal financial assistance recipients regarding Title VI prohibition against national origin discrimination affecting limited English proficient persons. Fed Regist. 2003;68:47311-47323.

Garcia EA , Roy LC , Okada PJ , Perkins SD , Wiebe RA A comparison of the influence of hospital-trained, ad hoc, and telephone interpreters on perceived satisfaction of limited English-proficient parents presenting to a pediatric emergency department. Pediatr Emerg Care. 2004;20:373-378.

Flores G. The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev. 2005 ;62:255-299.

10.

Dewalt DA , Berkman ND , Sheridan S. , Lohr KN , Pignone MP Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med. 2004;19: 1228-1239.

11.

Kuo DZ , O'Connor KG , Flores G. , Minkovitz CS Pediatricians' use of language services for families with limited English proficiency. Pediatrics. 2007;119:e920-e927.

12.

Serwint JR , Thoma KA , Dabrow SM , et al. Comparing patients seen in pediatric resident continuity clinics and national ambulatory medical care survey practices: a study from the continuity research network. Pediatrics. 2006;118:e849-e858.

13.

Krugman SD , Racine A. , Dabrow S. , et al. Measuring primary care of children in pediatric resident continuity practices: a Continuity Research Network study. Pediatrics . 2007;120:e262-e271.

14.

Seid M. , Varni JW , Bermudez LO , et al. Parents' Perceptions of Primary Care: measuring parents' experiences of pediatric primary care quality. Pediatrics. 2001;108:264-270.

15.

Seid M. , Stevens GD , Varni JW Parent's perceptions of pediatric primary care quality: effects of race/ethnicity, language, and access. Health Serv Res. 2003 ;38:1009-1031.

16.

Liptak GS , Orlando M. , Yingling JT , et al. Satisfaction with primary health care received by families of children with developmental disabilities. J Pediatr Health Care. 2006;20:245-252.

17.

Rosenthal MS , Socolar RR , DeWalt DA , Pignone M. , Garrett J. , Margolis PA Parents with low literacy report higher quality of parent-provider relationships in a residency clinic. Ambul Pediatr. 2007;7:51-55.

18.

Flores G. , Abreu M. , Olivar MA , Kastner B. Access barriers to health care for Latino children. Arch Pediatr Adolesc Med. 1998;152:1119-1125.

19.

Flores G. , Laws MB , Mayo SJ , et al. Errors in medical interpretation and their potential clinical consequences in pediatric encounters. Pediatrics. 2003;111:6-14.

20.

Morales LS , Elliott M. , Weech-Maldonado R. , Hays RD The impact of interpreters on parents' experiences with ambulatory care for their children. Med Care Res Rev. 2006;63:110-128.

21.

Hobson WL , Avant-Mier R. , Cochella S. , et al. Caring for the underserved: using patient and physician focus groups to inform curriculum development. Ambul Pediatr. 2005;5:90-95.