Culture and the patient-physician relationship: Achieving cultural competency in health care

Flores, Glenn

doi:10.1016/s0022-3476(00)90043-x

Cited by 424 publications

(289 citation statements)

References 32 publications

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“…These findings are consistent with previous studies that have found that providing information to family members, particularly children, is one of the most important predictors of interest in and/or intention to obtain GT for a variety of hereditary cancers (Kinney et al 2000(Kinney et al , 2001Lerman et al 1995;Ulrich et al 1998). Given the importance placed on the family in Hispanic culture, health care decisions have been found to be made more collectively, which supports these findings (Flores 2000;Granda-Cameron 1999;Pasick et al 2009). …”

Section: Knowledge About Hereditary Cancer By Locationsupporting

confidence: 91%

A pilot study of knowledge and interest of genetic counseling and testing for hereditary breast and ovarian cancer syndrome among Puerto Rican women

et al. 2011

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This study explored baseline levels of knowledge and attitude toward genetic testing (GT) for hereditary breast and ovarian cancer among Puerto Rican women. A secondary aim was to evaluate whether these factors differed between respondents in Puerto Rico and Tampa. Puerto Rican women with a personal or family history of breast or ovarian cancer who live in Puerto Rico (n=25) and Tampa (n=20) were interviewed. Both groups were interested in obtaining GT; women living in Puerto Rico were more likely to report they would get GT within 6 months (p=0.005). The most commonly cited barrier was cost; the most commonly cited facilitator was provider recommendation. There was no difference in overall knowledge between Tampa (M=5.15, SD=1.63) and Puerto Rico (M=5.00, SD=1.87) participants (p=0.78). Involving health care providers in recruitment and highlighting that GT may be available at minimal or no cost in the USA and Puerto Rico may facilitate participation.

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Section: Knowledge About Hereditary Cancer By Locationsupporting

confidence: 91%

A pilot study of knowledge and interest of genetic counseling and testing for hereditary breast and ovarian cancer syndrome among Puerto Rican women

et al. 2011

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“…Though communication has been cited as important in Latinas' decisions about mammography screening and cancer treatment, 55,66,69 studies have noted that Latinos may experience communication problems because of limited language concordance with their health-care providers. 68,[70][71] However, in our study, most women reported good to excellent communication with providers. This result may be due to the fact that most Latinas in our study received care from clinics that predominately serve Latinos and have bilingual administrative and medical staff.…”

Section: Discussioncontrasting

confidence: 47%

“…Our results confirm other studies of non-Latina groups that show that factors related to the art of care in patientprovider relationships influence the use of preventive services, 20,37,54,[65][66][67] and that it is particularly important to Latinas. 45,48,55,68 For example, in a qualitative study by Moy and colleagues, trust and the quality of the patient-physician relationship determined whether Latinas followed their physicians' mammography recommendation. 69 Most of the women in our study reported mid to high satisfaction with their health-care relationships, with 43% reporting very high satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Are Health-care Relationships Important for Mammography Adherence in Latinas?

Sheppard

Wang

et al. 2008

J GEN INTERN MED

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BACKGROUND: Latinas are the fastest growing racial ethnic group in the United States and have an incidence of breast cancer that is rising three times faster than that of non-Latino white women, yet their mammography use is lower than that of non-Latino women. OBJECTIVES:We explored factors that predict satisfaction with health-care relationships and examined the effect of satisfaction with health-care relationships on mammography adherence in Latinas. DESIGN AND SETTING:We conducted a cross-sectional survey of 166 Latinas who were ≥40 years old. Women were recruited from Latino-serving clinics and a Latino health radio program.MEASUREMENTS: Mammography adherence was based on self-reported receipt of a mammogram within the past 2 years. The main independent variable was overall satisfaction with one's health-care relationship. Other variables included: self report of patient-provider communication, level of trust in providers, primary language, country of origin, discrimination experiences, and perceptions of racism.RESULTS: Forty-three percent of women reported very high satisfaction in their health-care relationships. Women with high trust in providers and those who did not experience discrimination were more satisfied with their health-care relationships compared to women with lower trust and who experienced discrimination (p<.01). Satisfaction with the health-care relationship was, in turn, significantly associated with mammography adherence (OR: 3.34, 95% CI: 1.47-7.58), controlling for other factors.CONCLUSIONS: Understanding the factors that impact Latinas' mammography adherence may inform intervention strategies. Efforts to improve Latina's satisfaction with physicians by building trust may lead to increased use of necessary mammography.

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“…10,11,12 In a study among the Hispanic population Flores reported that it was very important to Hispanics to have a physician who speaks Spanish and fully understands Hispanics' cultural values. 13 In a recent study of a Canadian Asian community, Wang 14 found low accessibility to medical care providers in areas heavily populated by Chinese immigrants. He concluded that such a maldistribution was especially concerning due to the "overwhelmingly strong preference of Chinese immigrants for ethnically and dialectically matched family physicians".…”

Section: Health Disparities and The Multicultural Imperativementioning

confidence: 99%

Multicultural Issues in Oral Health

García

Cadoret

Henshaw

2008

Dental Clinics of North America

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SynopsisDemographic changes over the coming decades will heighten the challenges to the dental profession and to the nation. The expected growth in the numbers of racial and ethnic minorities, and the concomitant growth of immigrant populations are likely to lead to worsening of oral health disparities. Their consequences are becoming increasingly evident as the profession strives to improve the oral health of all Americans. The increasing diversity of the population, together with the importance of cultural beliefs and behaviors that affect health outcomes, will require ways to enhance provider-patient communications and oral health literacy. We discuss the nature and challenges presented by multicultural patient populations. One important means by which to promote oral health in diverse populations is to develop a dental workforce that is both culturally and linguistically competent, as well as one that is as culturally diverse as the American population.

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Culture and the patient-physician relationship: Achieving cultural competency in health care

Cited by 424 publications

References 32 publications

A pilot study of knowledge and interest of genetic counseling and testing for hereditary breast and ovarian cancer syndrome among Puerto Rican women

A pilot study of knowledge and interest of genetic counseling and testing for hereditary breast and ovarian cancer syndrome among Puerto Rican women

Are Health-care Relationships Important for Mammography Adherence in Latinas?

Multicultural Issues in Oral Health

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