Michael Seid|Gregory D. Stevens|James W. Varni
Parents' Perceptions of Pediatric Primary Care Quality: Effects of Race/Ethnicity, Language, and Access
Johns Hopkins University|Rady Children's Hospital-San Diego|University of California, San Diego
objective examine effects raceethnicity language potential access parents reports pediatric primary care experiences data sourcesstudy setting primary survey data collected 67 percent response rate 3406 parents students kindergarten sixth grade large urban school district california 19992000 school year data collection data collected mail telephone person surveys administered english spanish vietnamese tagalog study design data analyzed using multiple regression models dependent variable parents reports primary care quality assessed via previously validated parents perceptions primary care measure p3c independent variables raceethnicity language potential access care insurance status presence regular provider care controlling child age gender chronic health condition status mothers education principal findings parents reports primary care quality varied according raceethnicity asian latino parents reporting lower p3c scores african americans whites multivariate analyses language potential access exerted strong independent effects primary care quality reducing effect raceethnicity coefficient latinos longer significant coefficient asians much smaller though still statistically significant conclusions reduce racialethnic disparities primary care attention paid policies aimed improving potential access providing linguistically appropriate services