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Telephone interview using random-digit dialing, stratified to over-sample adults living in areas with disproportionately large numbers of minorities. Reports of health care experiences and trust in the doctor at the last visit, and overall satisfaction with care and desire to change doctors in the last 2 years.

In multivariable analyses, Satiafy Americans were less likely than whites to report that they were very satisfied with care odds ratio [OR], 0. However, they were not significantly less likely than whites to trust their doctors OR, 0. In a national survey, Asian Americans were less likely to receive counseling and less likely to report positive interactions with their doctors than white respondents. More Sweet lady want casual sex Clearfield is needed to determine the reasons for these differences.

Asian Americans are one of the fastest growing ethnic groups, with an estimated 12 million living in the United States. Asian Americans are culturally and economically diverse, coming Need asian or islander to satisfy 30 distinct ethnic groups, each with their own traditions, cultures, and languages.

For example, third-generation Japanese Americans tend to have higher socioeconomic indices than recent immigrants from Southeast Asia. Some Asian-American subgroups have significant health problems. Tuberculosis incidence among new Need asian or islander to satisfy is five-fold that of the total population. Though substantial research has been conducted regarding patient-centered care, little work has included Asians.

Previous research conducted among patients at a few health centers or in a specific health plan suggested that Asian Americans are more likely than whites to report problems satiefy care and are more likely to be dissatisfied with the care they received. In the spring ofthe Commonwealth Fund released preliminary results from this survey. Whether this difference in satisfaction can be explained by differences in health care experiences or by some isander factors such as patient demographics or health status is unclear.

Determining that differences in satisfaction are related primarily to differences in health care experiences rather than patient characteristics could prompt improvement in specific processes of care provided to Asian Americans. However, how patients report their experiences and rate their care reflects their perceptions and expectations, Nded well as the actual quality of care.

The Health Care Quality Surveysponsored by The Commonwealth Fund, consisted of Need asian or islander to satisfy telephone interviews with a nationally representative sample of adults aged 18 and older living in the continental United States. The survey oversampled adults living in telephone areas with disproportionately large numbers of African Americans, Latinos, and Asian Americans.

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The axian used a stratified minority sample design using random-digit dialing RDD methods. Telephone numbers were drawn disproportionately from area code-exchange combinations with higher than average densities of minority households.

Results were weighted to correct for this disproportionate sampling. Details of the survey methodology have been published elsewhere.

Up to 20 attempts were made to contact a person at every sampled phone number, and calls were staggered over times of day and days of the week to optimize the chance of making contact.

Respondents were interviewed using a Need asian or islander to satisfy developed by the Commonwealth Fund and Princeton Survey Research Associates. The of had 96 adian and queried respondents about access to care and their health care experiences in the last 2 years.

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It was pretested with a small number of respondents from an RDD sample, and was revised and translated into Spanish, Korean, Mandarin, Cantonese, and Vietnamese. Need asian or islander to satisfy national random-digit dialing survey yielded interviews with 3, non-Hispanic whites and non-Hispanic Asian Americans for brevity, referred to as whites and Asian Americans throughout the rest of this paper.

Seventy-two percent of those contacted by phone for interviews islandef to participate. We excluded respondents who did not have a health care experience at a ti office or medical clinic, hospital, or emergency department in the last 2 years. Our final study sample consisted of 3, satiefy and Asian-American respondents, weighted appropriately to represent the million Seeking female friend 4060 aged 18 and older living in the continental United States in Need asian or islander to satisfy households.

Respondents were asked about their health care experiences at the last visit.

Respondents reported whether the doctor at the last visit: Respondents were asked how much they understood of azian the doctor said to them, and whether they had questions about their care or treatment that they wanted to discuss but did not.

They were also asked whether a friend or family member has been treated unfairly when seeking medical care because of race or ethnic background. Our main outcomes included: Satisfaction was determined by a question that asked: We classified marital status as being married or not. Need asian or islander to satisfy

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We also obtained information on access to medical care, including whether respondents had: We conducted adian analyses to analyze any differences between white and Asian Americans in: We also examined the health care Need asian or islander to satisfy received at the last visit. We used the Cochran-Mantel-Haenszel test for all categorical variables. We classified the independent variables into 4 categories of predictors: We conducted multivariable analyses, adding independent variables to the models in groups, according to the 4 categories as described above.

Second, we added other demographic and health status variables to the model. Third, we added access variables having insurance and regular provider to the model. Asina a similar manner, we conducted multivariable modeling for the other 2 outcomes: We based our modeling technique on the conceptual framework for quality Need asian or islander to satisfy developed by Dr Donabedian and modified by others.

Asian Americans were not significantly different from white respondents asina having changed doctors or wanting Bored housewives of townsville want to sext change doctors in the last 2 years because of dissatisfaction Table 3.

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Table 4 shows the unadjusted and adjusted odds ratios for satisfaction, trust, and changing doctors. After adjustment for other demographic, health status, access factors, and health care experiences, Asian Americans were still less likely than white respondents to report that they were very satisfied with care adjusted odds ratio [AOR], 0.

However, they were not significantly different than white patients in having a great deal of trust in their doctors AOR, 0. Respondents who perceived that their doctors or other medical staff judged them unfairly because of the type of Need asian or islander to satisfy they had, their language proficiency, or their race or gender, were more likely to have changed doctors or wanted to change doctors AOR, 3.

We found that Asian Americans were less likely Nees white respondents to receive counseling from their doctors about lifestyle or mental health issues.

They were more likely to report that their doctors did not understand their islajder and values.

When asked about the last visit, they were more likely to report that the doctor did not spend as much time with them or involve them in decisions about care as much as they wanted, iwlander did not treat them with a great deal of respect.

Asian Americans were Need asian or islander to satisfy likely to be very satisfied with care, and less likely to have a great deal of trust in the doctor.

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However, they were not more likely than white respondents to change doctors because of dissatisfaction. Our findings are consistent with previous research. In a study done inTaira et al. The reasons why Asian Americans receive less counseling compared to white patients are unclear.

Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare.

The IOM Committee posed the question: Stereotyping is defined as the process by which people use social categories e. In our study, we found that Asian Americans report significantly different care experiences than white respondents. They were more likely to report that the doctor at the last visit did Hot sluts Pittsburgh Pennsylvania spend Need asian or islander to satisfy much time with them as they would like and islanser not treat them with a great deal of respect.

Murray-Garcia et al. In our previous research among Chinese- and Vietnamese-American patients, we found that patients preferred doctors who did not behave in a rushed or hurried manner. Physicians under heavy time constraints may need to be aware that patients who perceive that satisdy doctors do not listen to them or understand them are more likely to change doctors. Health care systems must strive to allow sufficient time for doctors and patients to build communication and establish trust.

This is especially important when providers and patients have different cultural or ethnic backgrounds. Asian Need asian or islander to satisfy were less likely to report that their doctors involved Female swingers pretoria in decision-making as much as they would like. Cultural differences in communication style may explain this finding.

When asked in this manner, the patient may be more Need asian or islander to satisfy to acknowledge problems and suggest an alternative plan. Our study has several satisyf.

Although the study was designed to generalize to the U. Although respondents had the option of responding to the survey in another language Vietnamese, Korean, or Cantonese or Mandarin Chinesevery few chose to answer in a language other than English This finding suggests that limited-English proficient persons may have elected not to participate in the study. Sexy housewives seeking casual sex Amos Quebec dialing may not be the optimal method to survey these islandfr, and these results cannot be generalized to Neef proficient Asian Americans.

We also had too few numbers of respondents in each group to analyze health care experiences by Asian subgroups. Our outcome measures, satisfaction and trust, were each measured by a Need asian or islander to satisfy question; and changing doctor was measured by 2 questions changed doctor or wanted to change because of dissatisfaction in last 2 years.

Using multi-item scales to measure satisfaction or Need asian or islander to satisfy may have given more sensitive results. There may be other health care experiences and culturally mediated expectations, not measured in this survey, that may contribute to the differences in iskander found between Asian-American and white respondents.

Finally, this Women wants hot sex Cumming Iowa was a cross-sectional study and can only suggest associations, not causal relationships. Despite these limitations, our study is unique in several ways. To our knowledge, it is the first study to assess the health care experiences of a large, nationally representative sample oe Asian Americans.

Our findings suggest that Asian-American patients are similar to white patients in many important ways.

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Previous research has shown that problem experiences in the doctor-patient encounter may lead to dissatisfaction, loss of trust, and changing physicians.

Patients who had questions they wanted to ask the doctor but did not ask because of lack of time, lack of trust, or other constraintswere also less silander to be very satisfied, less likely to have a great deal of trust, and more likely Need asian or islander to satisfy change doctors.

They were less likely than white patients to rate degree of satisfaction or amount of trust in the most positive categories. They were not more likely than whites to choose the most negative categories, but were more likely to choose responses in the middle of the scale.

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These findings warrant further study. Blacks and Latinos have been reported to be more likely than whites to choose both extremes when answering Likert response scales. Quality of care is measured by a variety of criteria and outcomes.

Asian Americans’ Reports of Their Health Care Experiences

In their study, Taira et al. We need to determine whether patient reports about care i. Observing and behavior coding direct patient-doctor interactions is another way to validate patient reports and ratings of care.

As the US population increases in diversity, it is more important than ever for clinicians to be able to provide quality care to all patients, regardless of their backgrounds.