Disparities in Diabetes Care Quality by English Language Preference in Community Health Centers.
Disparities in Diabetes Care Quality by English Language Preference in Community Health Centers.
复制标题
社区卫生中心英语语言偏好造成的糖尿病护理质量差异。
DOI：
10.1111/1475-6773.12590
复制
发表时间：
2018
影响因子：
3.4
通讯作者：
Rodriguez,HectorP
中科院分区：
文献类型：
--
作者：
Leung,LucindaB;Vargas-Bustamante,Arturo;Martinez,AnaE;Chen,Xiao;Rodriguez,HectorP
目的根据英语语言偏好对拉丁裔和亚洲社区健康中心 (CHC) 患者的糖尿病护理质量差异进行平行分析。研究设置/数据收集来自 14 个 CHC (n= 1,053) 的 2 型糖尿病成人的临床结果 (2011) 和患者调查数据 (2012)。研究设计我们根据临床医生和团体 — 医疗保健提供者消费者评估的英语语言偏好估计拉丁裔和亚洲患者的单独回归模型系统、慢性病护理患者评估、糖化血红蛋白和自我报告的低血糖事件。我们使用 Blinder-Oaxaca 分解方法来解析英语组与非英语组之间观察到的和未观察到的结果差异。主要发现在调整社会经济和健康特征后，仅在亚洲患者中发现英语语言偏好造成的患者体验差异。未观察到的因素在很大程度上解释了大多数患者体验测量的语言差异。对于拉丁裔或亚洲患者来说，语言对血糖控制没有显着差异。结论鉴于患者保留在 CHC 中的重要性，我们的研究结果表明有机会改善 CHC 患者的护理体验，并减少亚洲糖尿病患者因英语偏好而导致的患者体验差异。
ObjectiveTo conduct a parallel analysis of disparities in diabetes care quality among Latino and Asian community health center (CHC) patients by English language preference.Study Setting/Data CollectionClinical outcomes (2011) and patient survey data (2012) for Type 2 diabetes adults from 14 CHCs (n= 1,053).Study DesignWe estimated separate regression models for Latino and Asian patients by English language preference for Clinician & Group—Consumer Assessment of Healthcare Providers and System, Patient Assessment of Chronic Illness Care, hemoglobin A1c, and self‐reported hypoglycemic events. We used the Blinder–Oaxaca decomposition method to parse out observed and unobserved differences in outcomes between English versus non‐English language groups.Principal FindingsAfter adjusting for socioeconomic and health characteristics, disparities in patient experiences by English language preference were found only among Asian patients. Unobserved factors largely accounted for linguistic disparities for most patient experience measures. There were no significant differences in glycemic control by language for either Latino or Asian patients.ConclusionsGiven the importance of patient retention in CHCs, our findings indicate opportunities to improve CHC patients' experiences of care and to reduce disparities in patient experience by English preference for Asian diabetes patients.