RESUMO
OBJECTIVE: To develop and test the reliability of three race/ethnicity-specific forms of the pilot Tucker-Culturally Sensitive Health Care Inventory (T-CUSHCI) for use by patients at community-based primary care centers to evaluate the level of patient-centered cultural sensitivity perceived in the health care that they experience. METHODS: This research involved two studies using independent samples of primary care patients. In study 1, mostly low-income African-American, Hispanic and non-Hispanic white American patients (N=221) rated the importance of specific provider and office staff behaviors and attitudes, and center policies and physical environment characteristics that were earlier identified in previous focus groups as characteristics of patient-centered culturally sensitive healthcare. In study 2, three pilot race/ethnicity-specific T-CUSHCI patient forms were constructed from the items rated as at least important in study 1. Mostly low-income African-American and non-Hispanic white American patients (N=180) provided data to determine the reliability of the T-CUSHCI patient form for their racial/ethnic group. RESULTS: The pilot T-CUSHCI-African-American patient form and the pilot T-CUSHCI-non-Hispanic white American patient form were found to have Cronbach's alpha coefficients ranging from 0.71-0.96 and six-month test-retest and split-half reliabilities ranging from 0.92-0.99. CONCLUSION: The pilot T-CUSHCI patient forms (one each for African Americans, Hispanics and non-Hispanic whites) should be further tested using a national sample of patients. In the interim, these inventory forms can be used as clinical tools to obtain patient feedback for providing "individualized" patient-centered culturally sensitive healthcare.
Assuntos
Atitude do Pessoal de Saúde/etnologia , Serviços de Saúde Comunitária/normas , Diversidade Cultural , Satisfação do Paciente/etnologia , Assistência Centrada no Paciente/normas , Atenção Primária à Saúde/normas , Adolescente , Adulto , Negro ou Afro-Americano/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Hispânico ou Latino/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , New York , Psicometria/instrumentação , Reprodutibilidade dos Testes , Inquéritos e Questionários , População Branca/psicologiaRESUMO
Hypertension is a very common chronic condition that is disproportionately represented in certain populations. Although there have been many past successes in detection, evaluation, treatment, and control of high blood pressure, more successes are needed. Greater collaboration on multiple levels is essential in order to achieve better blood pressure control rates in people with hypertension. The readers collaborative help is requested.
