Patient Perceived Cultural Sensitivity of Clinic Environment and Its Association With Patient Satisfaction With Care and Treatment Adherence

Abstract

Research suggests that patient-centered culturally sensitive health care may be an important precursor to patient satisfaction and treatment adherence. Data from this study are a subset from the data collected for the Patient-Centered Culturally Sensitive Health Care and Health Promotion Research Project. The present study was designed to (a) explore the relationship between patients’ perceived patient-centered cultural sensitivity of their health care sites (ie, the physical and social environment and clinic policies) and their self-reported adherence to treatment and (b) investigate whether this relationship is mediated by satisfaction with health care experienced. Participants consisted of a low-income, culturally diverse sample of 1581 patients from 67 health care sites across the United States. A significant positive relationship between patients’ perceived patient-centered cultural sensitivity of their health care sites and their self-reported treatment adherence to a prescribed regimen was observed. Patient satisfaction with care partially mediated the relationship between these 2 variables. Assessing the level of patient-centered cultural sensitivity patients perceive in their health care sites might provide guidance to health care administrators as to how to make their sites more culturally sensitive from the perspective of patients. This, in turn, might increase patients’ treatment adherence, leading to improved health outcomes.

Health workforce cultural competency interventions: a systematic scoping review

“…Cultural and linguistic differences between healthcare providers and health service users can results in significant miscommunication [ 4 ], as well as service user mistrust [ 5 ], decreased satisfaction and disempowerment [ 6 ]. In contrast, practitioners’ increased cultural competence has been linked to increased patient satisfaction [ 7 , 8 ], treatment adherence [ 9 ] and information seeking and sharing [ 8 ]. It is perhaps due to the key role that health practitioners play in determining the health care experiences of patients that improving health workforce cultural competency is one of the oldest and most predominant of cultural competence strategies [ 10 , 11 ].…”

Cultural sensitivity in paediatric nursing care: a concept analysis using the Hybrid method

“…This feature is a performance or a consideration that coordinates and suits the caring plan with the culture of its recipient . If the patient and his/her family discusses their needs and demands with the nurses , they can provide the best practical method for enhancing patient satisfaction , justice‐based care, reduced cultural stress and increase adherence to the treatment and improve health outcomes . Also, this type of caring enhances human dignity, comfort and independence of the patient .…”

“…Also, this type of caring enhances human dignity, comfort and independence of the patient . Studies indicate that enacting cultural sensitivity in health care has positive effects on patient outcomes including decreasing stress in the nurses taking care of patients , reducing postpartum depression and stress in mothers , decreasing depression and social isolation in the patients receiving primary care services , improvement in quality of life in different racial and ethnic groups and increasing satisfaction and adherence to treatment .…”

“…The night shift nurse reported the child's health condition to the head nurse during the work shift change and stated: 'During medication, I found that the father of this child has three wives'. The head nurse immediately said: 'This is true that polygamy may common among Balochi culture, but this is rather nice to not judge others at all' (Field note 5 nurses taking care of patients (37), reducing postpartum depression and stress in mothers (38), decreasing depression and social isolation in the patients receiving primary care services (39), improvement in quality of life in different racial and ethnic groups (40)(41)(42) and increasing satisfaction and adherence to treatment (12,28,30,35,42,43).…”

Caring ethics as the foundation for cultural competence: views of health professionals working in student healthcare context

“…Cultural competence is vital for reducing health inequalities and the prevention of racism in healthcare contexts 28,44. It is also important for increasing patient satisfaction 45,46, health outcomes 16,17,38, treatment adherence 47 , and information seeking and sharing 46.…”