Provider satisfaction in clinical encounters with ethnic immigrant patients.
OBJECTIVE
To determine whether physicians' satisfaction in clinical encounters with ethnic immigrant patients differs from satisfaction in clinical encounters with white patients in the local community.


METHODS
Postvisit assessments from primary care physicians were collected for matched pairs of ethnic and control patients at the Mayo Clinic in Rochester, Minn, during a 10-week study (April 2-June 9, 2001). Ethnic patients were defined as first-generation Somalian, Cambodian, and Hispanic immigrants. Control patients were American-born white patients who were seen by the same physician and matched to the ethnic patients in age, sex, and type of visit. T tests and Hotelling T2 tests were used to analyze differences in physician responses between groups; regression analysis was used to identify the relationship between physicians' satisfaction and ethnicity in the presence of covariates.


RESULTS
Physicians were considerably less satisfied with ethnic patient visits compared with control patient visits. Larger differences in satisfaction were reported in the areas of patient efforts with disease prevention and management of chronic diseases. Smaller differences in satisfaction were reported for issues related to communication and cultural beliefs and practices. These differences persisted after controlling for patient demographics, physician, and visit characteristics.


CONCLUSIONS
Patients' ethnicity affects physician satisfaction with clinical encounters, particularly in the delivery of preventive care and chronic disease management.
Department of Health Sciences Research, Mayo Clinic, Rochester, Minn 55905, USA. kamath.celia@mayo.edu
Celia C
CC
Kamath
W Michael
WM
O'Fallon
Kenneth P
KP
Offord
Barbara P
BP
Yawn
Juan M
JM
Bowen
D000328:Adult; D001291:Attitude of Health Personnel; D016022:Case-Control Studies; D003142:Communication; D018864:Cultural Diversity; D004641:Emigration and Immigration; D005006:Ethnicity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000706:statistics & numerical data*