Permanent Link: http://ufdc.ufl.edu/IR00003173/00001
 Material Information
Title: Perceptions of Healthcare Delivery Among Ethnic and Racial Groups in two UF&Shands Clinic Settings
Physical Description: Poster
Creator: Butson, Linda C. ( Author, Secondary )
Singh, Neal ( Author, Primary )
Wegman, Martin ( Author, Secondary )
Pauly, Rebecca R. ( Author, Secondary )
Publisher: College of Medicine (College of Medicine Celebration of Research 2013)
Place of Publication: University of Florida
Publication Date: March 11, 2013
Acquisition: Collected for University of Florida's Institutional Repository by the UFIR Self-Submittal tool. Submitted by Linda Butson.
Publication Status: Unpublished
 Record Information
Source Institution: University of Florida Institutional Repository
Holding Location: University of Florida
Rights Management: All rights reserved by the submitter.
System ID: IR00003173:00001

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Perceptions of Healthcare Delivery Among Ethnic and Racial Groups in two UF&Shands Clinic Settings Neal Singh*, Martin Wegman, Linda Butson, MLn, MPH and Rebecca R. Pauly, MD FACP Health Science Center Libraries and College of Medicine *University Scholars Program Hypotheses! !"#$%&' ( )"'*+#' ( Acknowledgement Patients from two distinct clinic sites, a university clinic (Internal Medicine and Medical Specialties Clinic or IMMS), and a "free" clinic (Equal Access Clinic or EAC), were surveyed using a 21-item Community Assessment Instrument (CAI) developed by the Omaha Health Care System and Creighton University to assess individual and community attitudes and beliefs about medical services. For one half day per week at each site, patients were recruited into the study. The waiver of documentation of informed consent was also available in Spanish. A $5 gift card was provided to participants at the time of survey completion. The survey questions regarding demographics and attitudes were categorized by hypothesis topic and analyzed by clinic site. Primary outcomes were selected to be Q13, Q20, Q21, Q9, Q10, Q12 from the CAI. Q13 was collapsed into 2 categories (Yes and No or Don't know) and race was dichotomized (Caucasian and nonCaucasian). Logistic models were constructed for Q13, Q20, Q21 including gender, race and site covariates. Odds ratios and 99% confidence intervals were generated. We conducted Mann-Whitney-U Testing for Q9, Q10, Q12 by site and separately by race. Alpha = 0.01 was used to assess significance. SAS v 9.3 and Microsoft Excel were used. ,-./01%*2& ( Patients' perceptions of providers' cultural competency may differ by clinic site, race or gender. Patients' satisfaction with care may differ by clinic site. Conclusions IMMS (n=50) EAC (n=50) Gender Male 14 24 Female 36 26 Race African American/Black 13 14 Hispanic/Latino 7 8 Asian 3 5 Caucasian/White 24 19 Other 3 4 Age 18-21 2 5 22-34 7 7 35-44 6 13 45-54 11 11 55-64 12 12 65+ 12 2 Education Some high school 3 11 High school/GED graduate 11 14 Some college 14 11 Post-secondary degree 20 12 Other 2 2 Question 13 Odds-Ratio (99% CI) Equal Access Clinic vs. Internal Medicine Clinic 0.8271 (0.2476 2.7307) Female vs. Male 0.7107 (0.2011 2.5126) Caucasian vs. not Caucasian 6.0976 (1.6078 23.2558) This project has been funded by the University Scholars Program. Race distribution of patients was similar at each site. The patient population at the IMMS clinic was older, had obtained higher education degrees, and was predominantly female as compared to the EAC patient population. A significant difference (p < 0.0005) in the perception of the providers' cultural awareness was noted by Caucasian vs. non-Caucasian patients. This difference was independent of patients' gender or clinic site. Non-Caucasian patients at EAC were more likely to report good or less-than-good satisfaction with care while Caucasians were more likely to report excellent or good. Patients in the IMMS clinic were more likely to report excellent satisfaction with care provided. This was independent of race and at a significant level (p < 0.0022). Question 13: Do you think your healthcare provider was familiar with your cultural background well enough to treat someone of your ethnic, racial or cultural group? Question 10: How would you rate the care you received from the doctor at your last visit? Although research has been ongoing in the field of health disparities and delivery of care, disparities still exist among racial and ethnic minority groups in the United States. Factors such as low socioeconomic status, access to care, race, and gender contribute to health disparities. Our study investigates the roles of attitudes and beliefs in health delivery at two distinct sites, a university-based clinic (Internal Medicine and Medical Specialties Clinic or IMMS), and a "free" clinic (Equal Access Clinic or EAC), and their possible contribution to inequity. Demographics by Clinic Site Question 14: If you answered no to question 13, please explain. IMMS: The doctor did not mention ethnic potential in diagnosis." "I don't think my doctor understands my ethnic background because she doesn't serve many people of color." EAC: Spanish: Por que yo soy mexicano y el es americano tenemos diferentes culturas eso creo ." English: "Because I'm Mexican and my doctor is American. We have different cultures I think."