Contributors to Patients' Ratings of Quality of Care Among Ethnically Diverse Patients with Type 2 Diabetes.
We examined racial/ethnic differences in patients' ratings of components of interpersonal quality [participatory decision making (PDM) style, being treated as an equal partner, and feelings of trust], and evaluated the association between each of these components and patients' ratings of overall healthcare quality among non-Hispanic white (NHW), Vietnamese American, and Mexican American patients with type 2 diabetes. The findings indicated that although all three components were significantly associated with ratings of overall healthcare quality, the significant interactions between race/ethnicity and both PDM style (β = -0.09, p < 0.01) and equal partner (β = -0.06, p < 0.05) for the Vietnamese American patients suggested that the relationship between these components and patients' ratings of healthcare quality were less strong among Vietnamese American patients than among the NHW patients. Understanding racial/ethnic differences in the components of interpersonal quality that are associated with patients' ratings of overall healthcare quality is an important step for improving patients' experiences of their own care.
Program in Nursing Science, University of California, Irvine, 100B Berk Hall, Irvine, CA, 92617-3959, USA. sechoi@uci.edu.
Sarah E
SE
Choi
Division of General Internal Medicine and Health Policy Research Institute, University of California, Irvine, 100 Theory, Suite 110, Irvine, CA, 92697, USA.
Quyen
Q
Ngo-Metzger
Division of General Internal Medicine and Health Policy Research Institute, University of California, Irvine, 100 Theory, Suite 110, Irvine, CA, 92697, USA.
John
J
Billimek
Division of General Internal Medicine and Health Policy Research Institute, University of California, Irvine, 100 Theory, Suite 110, Irvine, CA, 92697, USA.
Sheldon
S
Greenfield
Division of General Internal Medicine and Health Policy Research Institute, University of California, Irvine, 100 Theory, Suite 110, Irvine, CA, 92697, USA.
Sherrie H
SH
Kaplan
Division of General Internal Medicine and Health Policy Research Institute, University of California, Irvine, 100 Theory, Suite 110, Irvine, CA, 92697, USA.
Dara H
DH
Sorkin
D000328:Adult; D001213:Asian / Q000706:statistics & numerical data; D001294:Attitude to Health / Q000208:ethnology; D002140:California; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy*; D019468:Disease Management; D005260:Female; D054625:Healthcare Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D010358:Patient Participation / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D011787:Quality of Health Care; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D044465:White People / Q000706:statistics & numerical data
Interpersonal quality of care; Participatory decision making; Quality of care; Race/ethnicity; Trust