Digging deeper: quality of patient-provider communication across Hispanic subgroups.
BACKGROUND
Recent research suggests that ethnic subgroup designation plays an important role in health-related disparities among Hispanics. Our objective was to examine the influence of Hispanics' self-reported ethnic subgroup designation on perceptions of their health care providers' communication behaviors.


METHODS
Cross-sectional analysis of the 2005 Medical Expenditure Panel Survey (MEPS). Participants included non-institutionalized Hispanics (n = 5197; US population estimate = 27,070,906), aged > or = 18 years, reporting visiting a health care provider within the past 12 months. Six (n = 6) items were used to capture respondents' perceptions of their health care providers' communication behaviors.


RESULTS
After controlling for socio-demographic covariates, compared to Other Hispanics (reference group), very few differences in perceptions of health care providers communication emerged across ethnic subgroups. Puerto Ricans were more likely to report that their health care provider "always" showed respect for what they had to say (OR = 2.16, 95% CI 1.16-4.03). Both Puerto Ricans (OR = 2.28, 95% CI 1.06-4.92) and Mexicans (OR = 1.88, 95% CI 1.02-3.46) were more likely to indicate that their health care provider "always" spent enough time with them as compared to Other Hispanics.


CONCLUSIONS
We observed very few differences among Hispanics respondents in their perceived quality of interactions with health care providers as a function of their ethnic subgroup designation. While our findings somewhat contradict previous research, they do suggest that other underlying factors may influence the quality of perceived interactions with health care providers.
Wallace
Lorraine S
LS
University of Tennessee Graduate School of Medicine, Department of Family Medicine, Knoxville, Tennessee, USA. lwallace@mc.utmck.edu
DeVoe
Jennifer E
JE
Rogers
Edwin S
ES
Protheroe
Joanne
J
Rowlands
Gillian
G
Fryer
George E
GE
D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health / Q000208:ethnology*; D003142:Communication; D003430:Cross-Sectional Studies; D005260:Female; D054625:Healthcare Disparities; D006630:Hispanic or Latino / Q000208:ethnology / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D011787:Quality of Health Care; D012923:Social Class; D014481:United States; D055815:Young Adult