Kori B. Flower|Asheley Cockrell Skinner|H. Shonna Yin|Russell L. Rothman|Lee Sanders|Alan M. Delamater|Eliana M. Perrin
Satisfaction With Communication in Primary Care for Spanish-Speaking and English-Speaking Parents
University of North Carolina at Chapel Hill|Duke University|Clinical Research Institute|Bellevue Hospital Center|New York University|Vanderbilt University Medical Center|Stanford University|University of Miami|University of North Carolina at Chapel Hill
background objective effective communication primary care physicians important yet incompletely understood spanishspeaking parents predicted lower satisfaction among spanishspeaking compared englishspeaking latino nonlatino parents methods crosssectional analysis 2month well visits within greenlight study 4 pediatric resident clinics parents reported satisfaction 14 physician communication items using validated communication assessment tool cat high satisfaction defined excellent cat item mean estimations compared satisfaction communication items among spanish englishspeaking latinos nonlatinos used generalized linear regression modeling adjusted parent age education income clinic site among spanishspeaking parents compared visits conducted spanish without interpreter english results compared englishspeaking latino n 127 nonlatino parents n 432 fewer spanishspeaking parents n 303 reported satisfaction 14 communication items significant differences found englishspeaking latinos nonlatinos greatest differences found use greeting made parent comfortable 594 spanishspeaking latinos endorsing excellent vs 775 englishspeaking latinos p 01 discussing followup 625 spanishspeaking latinos vs 798 englishspeaking latinos p 01 adjusting parent age education income study site spanishspeaking latinos still less likely report high satisfaction communication items satisfaction different among spanishspeaking parents physician spoke spanish versus used interpreter conclusions satisfaction physician communication associated language ethnicity spanishspeaking parents less frequently report satisfaction communication innovative solutions enhance communication quality needed