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Health Expect. 2012 Mar;15(1):63-77. doi: 10.1111/j.1369-7625.2010.00654.x. Epub 2011 Jan 11.

The patient-reported Clinicians' Cultural Sensitivity Survey: a field test among older Latino primary care patients.

Author information

  • 1Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA 94118-1944, USA. anapoles@ucsf.edu

Abstract

BACKGROUND:

Patient-reported measures of clinicians' cultural sensitivity are important to assess comprehensively quality of care among ethnically diverse patients and may help address persistent health inequities.

OBJECTIVE:

Create a patient-reported, multidimensional survey of clinicians' cultural sensitivity to cultural factors affecting quality of care.

DESIGN:

Using a comprehensive conceptual framework, items were written and field-tested in a cross-sectional telephone survey. Multitrait scaling and factor analyses were used to develop measures.

SETTING AND PARTICIPANTS:

Latino patients age ≥50 from primary care practices in California.

MAIN VARIABLES STUDIED:

Thirty-five items hypothesized to assess clinicians' sensitivity.

MAIN OUTCOMES MEASURES:

Validity and reliability of cultural sensitivity measures.

RESULTS:

Twenty-nine of 35 items measuring 14 constructs were retained. Eleven measures assessed sensitivity issues relevant to all participants: complementary and alternative medicine, mind-body connections, causal attributions, preventive care, family involvement, modesty, prescription medications, spirituality, physician discrimination due to education, physician discrimination due to race/ethnicity and staff discrimination due to race/ethnicity. Three measures were group specific: two to limited English proficient patients (sensitivity to language needs and discrimination due to language) and one to immigrants (sensitivity to immigrant status). Twelve multi-item scales demonstrated adequate reliability (alpha ≥0.68 except for Spanish discrimination due to education) and evidence of construct validity (item-scale correlations for all scales >0.40 except for sensitivity to immigrant status). Two single-item measures demonstrated sufficient construct validity to retain for further development.

DISCUSSION AND CONCLUSIONS:

The Clinicians' Cultural Sensitivity Survey can be used to assess the quality of care of older Latino patients.

© 2011 Blackwell Publishing Ltd.

PMID:
21223467
[PubMed - indexed for MEDLINE]
PMCID:
PMC3570254
Free PMC Article

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