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Patient-provider communication patterns among Asian American immigrant subgroups in New York City
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5 2021
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Source: Patient Educ Couns. 104(5):1049-1058
[PDF-298.47 KB]
Details:
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Alternative Title:Patient Educ Couns
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Personal Author:
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Description:Objectives:
Patient-provider communication is essential for patient-centered care, yet Asian American immigrant populations face barriers. We aim to describe: 1) patient-reported communication-related characteristics for 16 disaggregated Asian American subgroups; and 2) the association of patient comprehension of provider communication with socio-demographics, language proficiency and concordance, and perceived cultural sensitivity in this population.
Methods:
Descriptive statistics are presented for 1,269 Asian American immigrants responding to cross-sectional, venue-sampled surveys conducted in New York City. Logistic regression models examine predictors of low comprehension of provider communication.
Results:
Approximately 10% of respondents reported low comprehension of provider communication: lowest among South Asians and highest among Southeast Asians. Eighty-four percent were language-concordant with their provider, 90.1% agreed that their provider understood their background and values, and 16.5% felt their provider looked down on them. Low comprehension of provider communication was significantly associated with Southeast Asian subgroup, less education, limited English proficiency, public health insurance, patient-provider language discordance, and perceived low cultural understanding.
Conclusion:
Among our sample, language and cultural sensitivity are associated with comprehension of provider communication.
Practice Implications:
Strategies improving language access and cultural sensitivity may be important for Asian immigrant patients. These could include interpretation services, bilingual community-based providers, and cultural sensitivity training.
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Pubmed ID:33097362
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Pubmed Central ID:PMC8021612
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Volume:104
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Issue:5
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