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Satisfaction With Communication in Primary Care for Spanish-Speaking and English-Speaking Parents.

Publication ,  Journal Article
Flower, KB; Skinner, AC; Yin, HS; Rothman, RL; Sanders, LM; Delamater, A; Perrin, EM
Published in: Acad Pediatr
2017

BACKGROUND AND OBJECTIVE: Effective communication with primary care physicians is important yet incompletely understood for Spanish-speaking parents. We predicted lower satisfaction among Spanish-speaking compared to English-speaking Latino and non-Latino parents. METHODS: Cross-sectional analysis at 2-month well visits within the Greenlight study at 4 pediatric resident clinics. Parents reported satisfaction with 14 physician communication items using the validated Communication Assessment Tool (CAT). High satisfaction was defined as "excellent" on each CAT item. Mean estimations compared satisfaction for communication items among Spanish- and English-speaking Latinos and non-Latinos. We used generalized linear regression modeling, adjusted for parent age, education, income, and clinic site. Among Spanish-speaking parents, we compared visits conducted in Spanish with and without an interpreter, and in English. RESULTS: Compared to English-speaking Latino (n = 127) and non-Latino parents (n = 432), fewer Spanish-speaking parents (n = 303) reported satisfaction with 14 communication items. No significant differences were found between English-speaking Latinos and non-Latinos. Greatest differences were found in the use of a greeting that made the parent comfortable (59.4% of Spanish-speaking Latinos endorsing "excellent" vs 77.5% English-speaking Latinos, P < .01) and discussing follow-up (62.5% of Spanish-speaking Latinos vs 79.8% English-speaking Latinos, P < .01). After adjusting for parent age, education, income, and study site, Spanish-speaking Latinos were still less likely to report high satisfaction with these communication items. Satisfaction was not different among Spanish-speaking parents when the physician spoke Spanish versus used an interpreter. CONCLUSIONS: Satisfaction with physician communication was associated with language but not ethnicity. Spanish-speaking parents less frequently report satisfaction with communication, and innovative solutions to enhance communication quality are needed.

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Published In

Acad Pediatr

DOI

EISSN

1876-2867

Publication Date

2017

Volume

17

Issue

4

Start / End Page

416 / 423

Location

United States

Related Subject Headings

  • Young Adult
  • Wounds and Injuries
  • Student Run Clinic
  • Randomized Controlled Trials as Topic
  • Professional-Family Relations
  • Primary Health Care
  • Pediatrics
  • Pediatrics
  • Patient Satisfaction
  • Parents
 

Citation

APA
Chicago
ICMJE
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Flower, K. B., Skinner, A. C., Yin, H. S., Rothman, R. L., Sanders, L. M., Delamater, A., & Perrin, E. M. (2017). Satisfaction With Communication in Primary Care for Spanish-Speaking and English-Speaking Parents. Acad Pediatr, 17(4), 416–423. https://doi.org/10.1016/j.acap.2017.01.005
Flower, Kori B., Asheley C. Skinner, H Shonna Yin, Russell L. Rothman, Lee M. Sanders, Alan Delamater, and Eliana M. Perrin. “Satisfaction With Communication in Primary Care for Spanish-Speaking and English-Speaking Parents.Acad Pediatr 17, no. 4 (2017): 416–23. https://doi.org/10.1016/j.acap.2017.01.005.
Flower KB, Skinner AC, Yin HS, Rothman RL, Sanders LM, Delamater A, et al. Satisfaction With Communication in Primary Care for Spanish-Speaking and English-Speaking Parents. Acad Pediatr. 2017;17(4):416–23.
Flower, Kori B., et al. “Satisfaction With Communication in Primary Care for Spanish-Speaking and English-Speaking Parents.Acad Pediatr, vol. 17, no. 4, 2017, pp. 416–23. Pubmed, doi:10.1016/j.acap.2017.01.005.
Flower KB, Skinner AC, Yin HS, Rothman RL, Sanders LM, Delamater A, Perrin EM. Satisfaction With Communication in Primary Care for Spanish-Speaking and English-Speaking Parents. Acad Pediatr. 2017;17(4):416–423.
Journal cover image

Published In

Acad Pediatr

DOI

EISSN

1876-2867

Publication Date

2017

Volume

17

Issue

4

Start / End Page

416 / 423

Location

United States

Related Subject Headings

  • Young Adult
  • Wounds and Injuries
  • Student Run Clinic
  • Randomized Controlled Trials as Topic
  • Professional-Family Relations
  • Primary Health Care
  • Pediatrics
  • Pediatrics
  • Patient Satisfaction
  • Parents