title: Nativity and Perceived Healthcare Quality.
abstract: Perceptions of healthcare quality are lower among foreign- than US-born individuals. The objective of the study was to identify possible explanations for this disparity. Data were from 6202 respondents to cycles 1 and 2 of the Health Information National Trends Survey 4 conducted 2011-2013, including 5425 US-born and 777 foreign-born respondents. Perceived quality of healthcare was lower among foreign-born than US-born respondents, accounted for, to some degree (19.5 %), by foreign-born respondents experiencing relatively less patient-centered healthcare provider communication than US-born respondents. More patient-centered provider communication was associated with receiving higher quality healthcare in all respondents. Having a regular provider was associated with perceived quality of care in foreign-born but not US-born respondents, and the reverse was true for frequency of care. Patient centered provider communication and continuity of care may be key targets for improving quality of care for foreign-born individuals.
authors.affiliation: Department of Community Health and Health Behavior, University at Buffalo, 304 Kimball Tower, 3435 Main St., Buffalo, NY, 14214, USA. horom@buffalo.edu.
authors.forename: Heather
authors.initials: H
authors.lastname: Orom
mesh_terms: D000328:Adult; D003142:Communication; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care; D010465:Perception; D011369:Professional-Patient Relations; D011787:Quality of Health Care; D012959:Socioeconomic Factors; D013997:Time Factors
keywords: Health care access; Healthcare quality; Minority; Nativity; Patient-centered care; Race/ethnicity