title: Nativity status and patient perceptions of the patient-physician encounter: results from the Commonwealth Fund 2001 survey on disparities in quality of health care.
abstract: BACKGROUND
  Although racial and ethnic differences in healthcare have been extensively documented in the United States, little attention has been paid to the quality of health care for the foreign-born population in the United States.
  
  
  OBJECTIVE
  This study examines the association between patient perceptions of the patient-physician interaction and nativity status.
  
  
  METHODS
  Cross-sectional telephone survey.
  
  
  METHODS
  A total of 6674 individuals (US-born = 5156; foreign-born = 1518) 18 years of age and older.
  
  
  METHODS
  Seven questions measuring the quality of patient-physician interactions.
  
  
  RESULTS
  Of the 7 outcome variables examined in the unadjusted logistic regression model, only 2 remained statistically significant in the fully adjusted model. For both the total sample and for Asians only, compared with US-born, foreign-born individuals were at greater odds [total sample, odds ratio (OR) = 1.43; 95% confidence interval (CI) = 1.01-2.04; Asians, OR = 3.25; 95% CI = 1.18-8.95] of reporting that their physician did not involve them in their care as much as they would have liked. Compared with US-born Asians, foreign-born Asians were at greater odds of reporting that their physician did not spend as much time with them as they would have liked (OR = 4.19; 95% CI = 1.68-10.46).
  
  
  CONCLUSIONS
  Findings from our study suggest that we should not only track disparities by race and ethnicity but also by nativity status.
authors.affiliation: University of Texas, School of Public Health, Dallas Regional Campus, Dallas, Texas 75390, USA. Flora.Dallo@UTSouthwestern.edu
authors.forename: Florence J
authors.initials: FJ
authors.lastname: Dallo
authors.forename: Luisa N
authors.initials: LN
authors.lastname: Borrell
authors.forename: Stacey L
authors.initials: SL
authors.lastname: Williams
mesh_terms: D000328:Adult; D000368:Aged; D001071:Appointments and Schedules; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000208:ethnology*; D010817:Physician-Patient Relations; D011787:Quality of Health Care; D014481:United States