title: Mothers' satisfaction with medical care: perceptions of racism, family stress, and medical outcomes in children with diabetes.
abstract: Patient satisfaction is an important indicator of medical outcomes. This study used an ecological framework to identify sociodemographic, family, and community predictors of mothers' satisfaction with their children's medical care and to determine the extent to which satisfaction is associated with medical outcomes such as adherence to treatment and health status of children with diabetes. Although individual demographics have little influence on satisfaction, family and community stressors are significant predictors of mothers' satisfaction with medical care. Mothers who reported greater perceptions of racism and family stress were significantly less satisfied with their children's medical care than those from less stressful environments. Mothers' satisfaction with medical care was significantly associated with adherence but was not significantly related to the children's health status.
authors.affiliation: George Warren Brown School of Social Work, Washington University, MO 63130, USA.
authors.forename: W F
authors.initials: WF
authors.lastname: Auslander
authors.forename: S J
authors.initials: SJ
authors.lastname: Thompson
authors.forename: D
authors.initials: D
authors.lastname: Dreitzer
authors.forename: J V
authors.initials: JV
authors.lastname: Santiago
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002648:Child; D002675:Child, Preschool; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy*; D005260:Female; D019538:Health Care Surveys; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D017063:Outcome Assessment, Health Care; D010349:Patient Compliance; D011237:Predictive Value of Tests; D011822:Race Relations / Q000523:psychology*; D012044:Regression Analysis; D012947:Social Work; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000523:psychology*