Testing the Roles of Perceived Provider Fairness and Patient-Provider Ethnicity/Race Concordance in a Patient-Centered C...

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Material Information

Title:
Testing the Roles of Perceived Provider Fairness and Patient-Provider Ethnicity/Race Concordance in a Patient-Centered Culturally Sensitive Health Care Model
Physical Description:
1 online resource (99 p.)
Language:
english
Creator:
Nghiem, Khanh Ngoc
Publisher:
University of Florida
Place of Publication:
Gainesville, Fla.
Publication Date:

Thesis/Dissertation Information

Degree:
Doctorate ( Ph.D.)
Degree Grantor:
University of Florida
Degree Disciplines:
Counseling Psychology, Psychology
Committee Chair:
TUCKER,CAROLYN M
Committee Co-Chair:
MILLER,SCOTT A
Committee Members:
CHOI,CHUN-CHUNG
PUIG,ANA

Subjects

Subjects / Keywords:
fairness -- patients -- satisfaction
Psychology -- Dissertations, Academic -- UF
Genre:
Counseling Psychology thesis, Ph.D.
bibliography   ( marcgt )
theses   ( marcgt )
government publication (state, provincial, terriorial, dependent)   ( marcgt )
born-digital   ( sobekcm )
Electronic Thesis or Dissertation

Notes

Abstract:
There is a lack of research that links patient-perceived provider fairness and patient-provider ethnicity/race concordance with provider cultural sensitivity, patients' trust in their provider, and patients' satisfaction with their provider. The present study was designed to test an aspect of the Patient-Centered Culturally Sensitive Health Care (PC-CSHC) Model that was modified to include provider fairness and patient-provider ethnicity/race concordance. Specifically, the present study sought to (a) test the associations of the modified PC-CSHC model among a sample of ethnically/racially diverse patients; and (b) explore if the associations in the modified PC-CSHC model differ for African American (AA), Hispanic/Latino(a) (H/L), and White American (WA) patients. Participants in this study were 1,654 ethnically/racially diverse patients, each of whom have received health care from one of 67 health care sites across the U.S. The analyses revealed that provider fairness but not ethnicity/race concordance has significant positive associations with provider cultural sensitivity, trust in provider, and satisfaction with provider for the total participant sample. However, the sensitivity/interpersonal skill aspect of provider cultural sensitivity has a negative association with provider fairness in the total patient participant sample. Furthermore, analyses revealed that ethnicity/race concordance has a significant positive effect on provider cultural sensitivity, provider fairness, and patient satisfaction for WA patients only. In contrast, there was a significant negative effect of ethnicity/race concordance on the respect/ communication aspect of provider cultural sensitivity for the H/L patients and no significant effect for AA patients. Provider fairness was found to be positively associated with provider satisfaction for AA, H/L, and WA patients. Furthermore, provider fairness was found to be associated with the competence/confidence aspect of provider cultural sensitivity and trust in provider for AA and WA patients. These findings provide support for the role of provider fairness in the PC-CSHC model and suggest that patient-provider ethnicity/race concordance may not be an important aspect of ethnic/racial minority patients' health care experience. Other factors such as patient-perceived cultural or socioeconomic similarity of their health care provider may be more important to ethnic/racial minority patients. These findings suggest the need to customize communication and health care interventions for ethnically/racially diverse patients.
General Note:
In the series University of Florida Digital Collections.
General Note:
Includes vita.
Bibliography:
Includes bibliographical references.
Source of Description:
Description based on online resource; title from PDF title page.
Source of Description:
This bibliographic record is available under the Creative Commons CC0 public domain dedication. The University of Florida Libraries, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.
Statement of Responsibility:
by Khanh Ngoc Nghiem.
Thesis:
Thesis (Ph.D.)--University of Florida, 2014.
Local:
Adviser: TUCKER,CAROLYN M.
Local:
Co-adviser: MILLER,SCOTT A.
Electronic Access:
RESTRICTED TO UF STUDENTS, STAFF, FACULTY, AND ON-CAMPUS USE UNTIL 2014-11-30

Record Information

Source Institution:
UFRGP
Rights Management:
Applicable rights reserved.
Classification:
lcc - LD1780 2014
System ID:
UFE0046321:00001