Health Care Satisfaction: Effects of Immigration, Acculturation, Language View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-12

AUTHORS

Russell K. Schutt, Camila Mejía

ABSTRACT

Differences in health care satisfaction can alter patterns of health care utilization and so affect health outcomes, but little is known about variation in satisfaction in relation to immigration status. Health care satisfaction is analyzed with survey data from state public health program patients. Overall health care satisfaction is higher for first generation Hispanic immigrants and lower among those in the second generation compared to white Americans-consistent with the pattern termed the "healthy migrant effect." This pattern is more pronounced for Portuguese-speaking immigrants and is not explained by self-reported health, communication ability or acculturation. Satisfaction with specific aspects of health care follows different patterns that may be explained by differences in experiences and culture. As anticipated by segmented assimilation theory, we find variation in cross-generational patterns of health care satisfaction both within and between ethnic groups. This variation indicates the importance of distinguishing Portuguese-speakers from Spanish-speakers and of taking into account differences in the ways they are able to communicate with health care providers as well as differences in their orientations toward health care. Our disparate findings with other immigrant groups also reinforce limiting expectations of a "healthy migrant effect" to Latinos. Finally, the variable influences on different satisfaction measures indicate the importance of considering the relative influence of culturally-based orientations and health care experiences on the specific outcomes measured, with particular sensitivity to acceptance of individualized standards of care. More... »

PAGES

1372-1378

References to SciGraph publications

  • 1999-07. Are latinos less satisfied with communication by health care providers? in JOURNAL OF GENERAL INTERNAL MEDICINE
  • 2008. Latino Health Paradoxes: Empirical Evidence, Explanations, Future Research, and Implications in LATINAS/OS IN THE UNITED STATES: CHANGING THE FACE OF AMÉRICA
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10903-016-0409-z

    DOI

    http://dx.doi.org/10.1007/s10903-016-0409-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1005005436

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/27026346


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