Margarita Alegr??a|William M. Sribney|Debra Joy Pérez|Mara Laderman|Kristen Keefe
The Role of Patient Activation on Patient–Provider Communication and Quality of Care for US and Foreign Born Latino Patients
Cambridge Health Alliance|Harvard University|Third Way|Robert Wood Johnson Foundation|Cambridge Health Alliance|Harvard University|Boston College
previous research shown positive effects patient activation healthcare outcomes practically information generalization findings latino patients little data available whether patient activation associated healthcare outcomes latino patients whether activation varies language proficiency nativity statuswe examined levels activation characteristics latino patients eg nativity language health status investigated whether patient activation relates quality care received enhanced doctorpatient communication latino patientswe conducted analyses 1067 us born foreign born latinos participated second wave pewrwjf hispanic healthcare survey 2008participants selfidentified latinos 18 doctor visit living contiguous united states could contacted telephoneus born latinos significantly p 0001 greater patient activation scores foreign born latinos 75 versus 70 latinos classified bilingual reporting excellent health evidenced higher mean activation scores compared spanishspeaking latinos reporting fair poor health adjusting demographics health status language service use factors patient activation strongly associated selfreported quality care better doctorpatient communication among us foreign born latino respondentsinterventions augment patient activation could increase quality care improved patientprovider communication potentially reducing health care disparities latinos