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dc.contributor.authorJang, Yuri ( Orcid Icon 0000-0001-8239-1778 )
dc.contributor.authorYoon, Hyunwoo ( )
dc.contributor.authorKim, Miyong T. ( Orcid Icon 0000-0002-4769-9387 )
dc.contributor.authorPark, Nan Sook ( Orcid Icon 0000-0003-1751-182X )
dc.contributor.authorChiriboga, David A. ( Orcid Icon 0000-0001-5930-2925 )
dc.date.accessioned2020-03-16T17:51:38Z
dc.date.available2020-03-16T17:51:38Z
dc.date.issued2018-08
dc.identifier.citationJang, Y., Yoon, H., Kim, M. T., Park, N. S., & Chiriboga, D. A. (2018). Preference for patient–provider ethnic concordance in Asian Americans. Ethnicity and Health.en_US
dc.identifier.issn1465-3419
dc.identifier.urihttps://digital.library.txstate.edu/handle/10877/9453
dc.description.abstract

Objectives: The present study examined factors associated with the preference for patient-provider ethnic concordance in Asian Americans.

Design: With data drawn from the 2015 Asian American Quality of Life Survey (N = 2535), a logistic regression model of the preference for patient-provider ethnic concordance was tested with demographic (age, gender, ethnicity, marital status, education), health and access (chronic medical conditions, self-rated health, health insurance coverage), immigration-related (place of birth, length of stay in the US, English proficiency, acculturation), and adverse experience (perceived discrimination, communication problems in healthcare settings) variables.

Results: Over half (52.4%) of those in the sample preferred to be treated by a healthcare provider from their own ethnic background. In a multivariate model, the odds for preferring ethnic concordance were 1.52-1.64 times higher among individuals in earlier stages of immigration, language acquisition, and acculturation. Individuals who had experienced communication problems in healthcare settings presented 3.74 times higher odds for preferring ethnic concordance than did counterparts without such experience.

Conclusions: The results emphasized the value of paying attention to patient-provider concordance when treating Asian Americans either relatively new to the country or who have had previous problems communicating with health professionals. The findings also provide implications for improving workforce diversity in healthcare delivery and medical education.

en_US
dc.formatText
dc.format.extent14 pages
dc.format.medium1 file (.pdf)
dc.language.isoen
dc.publisherRoutledgeen_US
dc.sourceEthnicity and Health, 2018.
dc.subjectPatient–provider ethnic concordance
dc.subjectAcculturation
dc.subjectCommunication problems in healthcare settings
dc.subjectAsian Americansen_US
dc.titlePreference for Patient-Provider Ethnic Concordance in Asian Americansen_US
dc.typeacceptedVersion
txstate.documenttypeArticle
dc.description.versionThis is the accepted manuscript version of an article published in Ethnicity and Health.
dc.identifier.doihttps://doi.org/10.1080/13557858.2018.1514457
dc.description.departmentSocial Work


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