Lorraine S. Wallace|Jennifer E. DeVoe|Edwin S. Rogers|Maricarmen Malagon-Rogers|George E. Fryer
The Medical Dialogue: Disentangling Differences between Hispanic and non-Hispanic Whites
University of Tennessee at Knoxville|Oregon Health & Science University|University of Tennessee at Knoxville|University of Tennessee at Knoxville|New York University
patients race ethnicity play important role quality access healthcare united statesto examine influence ethnicityhispanic whites vs nonhispanic whiteson respondents selfreported interactions healthcare providers understand among hispanic whites demographic socioeconomic characteristics impact interactions healthcare providerscrosssectional analysis 2002 medical expenditure panel survey nationally representative survey medical care conducted agency healthcare research qualitycivilian noninstitutionalized us population aged 18 years reported visiting healthcare provider within past 12 months prior data collectionafter controlling several demographic socioeconomic covariates compared nonhispanic whites reference group hispanic whites visited doctors office clinic past 12 months likely report healthcare provider always listened odds ratio 136 95 confidence interval ci 121153 explained things understood 125 95 ci 110141 showed respect say 152 95 ci 135172 spent enough time 122 95 ci 108138 however hispanics less likely indicate health care provider always gave control treatment options 083 95 ci 072095 compared nonhispanics within hispanic population exclusively age place residence census region health insurance status presence usual source care influenced selfreported interactions healthcare providershispanic white respondents likely report aspects providerpatient interactions indicative high quality whereas related decisionmaking autonomy somewhat paradoxical results examined fully future research