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Author Hsu, Yi-Ting Christine
Title Ethnic minority healthcare utilization: Associations between patient-provider interaction, acculturation, chronic illness, and treatment delay among self-identified Chinese in California
book jacket
Descript 102 p
Note Source: Dissertation Abstracts International, Volume: 72-05, Section: B, page:
Adviser: Ron E. F. Duran
Thesis (Ph.D.)--Alliant International University, Los Angeles, 2011
The purpose of the current study was to investigate the relationships among patient-provider interaction, acculturation, chronic Illness, and treatment delay among people of Chinese descent living in the United States. Archival data from the California Health Interview Survey 2007 (CHIS), a population-based telephone survey, was used in the current study. The CHIS 2007 is comprised of questions regarding health status, health conditions, health-related behaviors, and access to- and use of health care services for all age groups. The current study's sample consisted of 1,345 adults who self-identified as only Chinese and resided in California. The participants were relatively well educated and a majority lived in the United States more than 15 years
The current study's findings showed patient-provider interaction, acculturation, and number of illnesses diagnosed were not related to treatment delay. However, the results of chi-square tests revealed a significant relationship between patient-provider interaction and proxy variables for acculturation. These findings suggest that more positive evaluations of the patient-provider interaction with respect to quality of the relationship were significantly related to higher acculturation. Additionally, the covariate analyses demonstrated that gender was significantly associated with treatment delay among a group of self-identified Chinese in California. The exploratory analyses were conducted with the current study's two significant findings: (1) patient-provider interaction and acculturation, and (2) gender and treatment delay. The results of the logistic regression analyses showed the strongest predictor for females with regards to patient-provider understanding was lifetime proportion of United States residency, and the strongest predictor for females with regards to patient-provider interpersonal connection was self-perception of English proficiency. The current study provided good initial evidence of the association between patient-provider interaction and acculturation, attributes that do and do not contribute to treatment delay, as well as the experience with the healthcare system for Chinese Americans living in the United States
School code: 1436
Host Item Dissertation Abstracts International 72-05B
Subject Asian American Studies
Psychology, Behavioral
Health Sciences, Public Health
Alt Author Alliant International University, Los Angeles. Los Angles, CSPP
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