title: Satisfaction with health care among Latinas.
abstract: Despite growing interest in disparities in access to health care, relatively little is known about different facets of care among Latinas, their satisfaction with the care they receive, and the predictors of satisfaction. This study examined whether various health care access and context factors, the quality of the patient-physician interaction, and medical mistrust predict satisfaction with health care among Latina immigrants in New York City. Structured interviews were conducted with 220 Latinas predominantly from the Dominican Republic and aged 40 years or over. Of the access to health care variables examined, greater waiting time predicted dissatisfaction with health care. Greater quality of the patient-physician interaction predicted less dissatisfaction. The effect of the patient-physician interaction on dissatisfaction was mediated, in part, by waiting time. The results illustrate the important role of specific health care factors in satisfaction with care.
authors.affiliation: Columbia University, Mailman School of Public Health, Department of Sociomedical Sciences, New York, NY 10032, USA. aabraido@columbia.edu
authors.forename: Ana F
authors.initials: AF
authors.lastname: Abraído-Lanza
authors.forename: Amarilis
authors.initials: A
authors.lastname: Céspedes
authors.forename: Shaira
authors.initials: S
authors.lastname: Daya
authors.forename: Karen R
authors.initials: KR
authors.lastname: Flórez
authors.forename: Kellee
authors.initials: K
authors.lastname: White
mesh_terms: D000328:Adult; D003695:Delivery of Health Care / Q000208:ethnology*; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D006297:Health Services Accessibility; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D009519:New York City; D017060:Patient Satisfaction / Q000208:ethnology* / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D036301:Qualitative Research; D011787:Quality of Health Care; D013997:Time Factors; D035502:Trust