title: Clinic Workload, the Quality of Staff Relationships and Diabetes Management in Community Health Centers Catering to Latino and Chinese Patients.
abstract: We examine whether workplace climate-quality of staff relationships (QSR) and manageable clinic workload (MCW) are related to better patient care experiences and diabetes care in community health centers (CHCs) catering to Latino and Chinese patients. Patient experience surveys of adult patients with type 2 diabetes and workplace climate surveys of clinicians and staff from CHCs were included in an analytic sample. Comparisons of means analyses examine patient and provider characteristics. The associations of QSR, MCW and the diabetes care management were examined using regression analyses. Diabetes care process were more consistently provided in CHCs with high quality staff relations and more manageable clinic workload, but HbA1c, LDL cholesterol, and blood pressure outcomes were no different between clinics with high vs. low QSR and MCW. Focusing efforts on improvements in practice climate may lead to more consistent provision of important processes of diabetes care for these patients.
authors.affiliation: Department of Health Policy and Management, UCLA Fielding School of Public Health, 650 Charles E. Young Drive South Room 31-299C, Box 951772, Los Angeles, CA, 90095, USA. avb@ucla.edu.
authors.forename: Arturo
authors.initials: A
authors.lastname: Vargas Bustamante
authors.affiliation: UCLA Center for Health Policy Research, UCLA Fielding School of Public Health, Los Angeles, USA.
authors.forename: Ana
authors.initials: A
authors.lastname: Martinez
authors.affiliation: UCLA Center for Health Policy Research, UCLA Fielding School of Public Health, Los Angeles, USA.
authors.forename: Xiao
authors.initials: X
authors.lastname: Chen
authors.affiliation: Department of Health Policy and Management, UC-Berkeley, Berkeley, USA.
authors.forename: Hector P
authors.initials: HP
authors.lastname: Rodriguez
mesh_terms: D000328:Adult; D003151:Community Health Centers / Q000706:statistics & numerical data*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D064876:Safety-net Providers; D016526:Workload / Q000706:statistics & numerical data*; D017132:Workplace / Q000706:statistics & numerical data*
keywords: Chinese Americans; Diabetes care; Latinos; Safety net providers; Workplace climate