The medical dialogue: Disentangling differences between Hispanic and non-Hispanic whites

Lorraine S. Wallace, Jennifer Devoe, Edwin S. Rogers, Maricarmen Malagon-Rogers, George E. Fryer

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

BACKGROUND: Patients' race and ethnicity play an important role in quality of and access to healthcare in the United States. OBJECTIVES: To examine the influence of ethnicity - Hispanic whites vs. non-Hispanic whites - on respondents' self-reported interactions with healthcare providers. To understand, among Hispanic whites, how demographic and socioeconomic characteristics impact their interactions with healthcare providers. DESIGN: Cross-sectional analysis of the 2002 Medical Expenditure Panel Survey, a nationally representative survey on medical care conducted by the Agency for Healthcare Research and Quality. PARTICIPANTS: Civilian, noninstitutionalized U.S. population aged ≥18 years who reported visiting a healthcare provider within the past 12 months prior to data collection. RESULTS: After controlling for several demographic and socioeconomic covariates, compared to non-Hispanic whites (reference group), Hispanic whites who had visited a doctor's office or clinic in the past 12 months were more likely to report that their healthcare provider "always" listened to them [odds ratio (OR)=1.36, 95% confidence interval (CI) 1.21-1.53], explained things so that they understood (OR=1.25, 95% CI 1.10-1.41), showed respect for what they had to say (OR=1.52, 95% CI 1.35-1.72), and spent enough time with them (OR=1.22, 95% CI 1.08-1.38). However, Hispanics were less likely to indicate that their health care provider "always" gave them control over treatment options (OR=0.83, 95% CI 0.72-0.95) as compared to non-Hispanics. Within the Hispanic population exclusively, age, place of residence, census region, health insurance status, and presence of a usual source of care influenced self-reported interactions with healthcare providers. CONCLUSION: Hispanic white respondents were more likely to report that some aspects of provider-patient interactions were indicative of high quality, whereas those related to decision-making autonomy were not. These somewhat paradoxical results should be examined more fully in future research.

Original languageEnglish (US)
Pages (from-to)1538-1543
Number of pages6
JournalJournal of General Internal Medicine
Volume22
Issue number11
DOIs
StatePublished - Nov 2007

Fingerprint

Hispanic Americans
Health Personnel
Odds Ratio
Confidence Intervals
Demography
Insurance Coverage
Health Services Research
Censuses
Health Insurance
Self Care
Health Expenditures
Population
Health Status
Decision Making
Cross-Sectional Studies
Delivery of Health Care
Surveys and Questionnaires

Keywords

  • Medical expenditure panel survey
  • Patient experiences
  • Physician-patient communication
  • Race/ethnicity
  • Racial differences

ASJC Scopus subject areas

  • Internal Medicine

Cite this

The medical dialogue : Disentangling differences between Hispanic and non-Hispanic whites. / Wallace, Lorraine S.; Devoe, Jennifer; Rogers, Edwin S.; Malagon-Rogers, Maricarmen; Fryer, George E.

In: Journal of General Internal Medicine, Vol. 22, No. 11, 11.2007, p. 1538-1543.

Research output: Contribution to journalArticle

Wallace, Lorraine S. ; Devoe, Jennifer ; Rogers, Edwin S. ; Malagon-Rogers, Maricarmen ; Fryer, George E. / The medical dialogue : Disentangling differences between Hispanic and non-Hispanic whites. In: Journal of General Internal Medicine. 2007 ; Vol. 22, No. 11. pp. 1538-1543.
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N2 - BACKGROUND: Patients' race and ethnicity play an important role in quality of and access to healthcare in the United States. OBJECTIVES: To examine the influence of ethnicity - Hispanic whites vs. non-Hispanic whites - on respondents' self-reported interactions with healthcare providers. To understand, among Hispanic whites, how demographic and socioeconomic characteristics impact their interactions with healthcare providers. DESIGN: Cross-sectional analysis of the 2002 Medical Expenditure Panel Survey, a nationally representative survey on medical care conducted by the Agency for Healthcare Research and Quality. PARTICIPANTS: Civilian, noninstitutionalized U.S. population aged ≥18 years who reported visiting a healthcare provider within the past 12 months prior to data collection. RESULTS: After controlling for several demographic and socioeconomic covariates, compared to non-Hispanic whites (reference group), Hispanic whites who had visited a doctor's office or clinic in the past 12 months were more likely to report that their healthcare provider "always" listened to them [odds ratio (OR)=1.36, 95% confidence interval (CI) 1.21-1.53], explained things so that they understood (OR=1.25, 95% CI 1.10-1.41), showed respect for what they had to say (OR=1.52, 95% CI 1.35-1.72), and spent enough time with them (OR=1.22, 95% CI 1.08-1.38). However, Hispanics were less likely to indicate that their health care provider "always" gave them control over treatment options (OR=0.83, 95% CI 0.72-0.95) as compared to non-Hispanics. Within the Hispanic population exclusively, age, place of residence, census region, health insurance status, and presence of a usual source of care influenced self-reported interactions with healthcare providers. CONCLUSION: Hispanic white respondents were more likely to report that some aspects of provider-patient interactions were indicative of high quality, whereas those related to decision-making autonomy were not. These somewhat paradoxical results should be examined more fully in future research.

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