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" The patient-reported Clinicians' Cultural Sensitivity Survey: "
Nápoles, Anna M; Santoyo-Olsson, Jasmine; Farren, Georgianna; Olmstead, Jill; Cabral, Ruben; Ross, Barry; Gregorich, Steven E
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AL
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| Record Number
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916936
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LA20z3v5n1
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| Title & Author
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The patient-reported Clinicians' Cultural Sensitivity Survey:. a field test among older Latino primary care patients. [Article]\ Nápoles, Anna M; Santoyo-Olsson, Jasmine; Farren, Georgianna; Olmstead, Jill; Cabral, Ruben; Ross, Barry; Gregorich, Steven E
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2012
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UCSF
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| Abstract
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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.Create a patient-reported, multidimensional survey of clinicians' cultural sensitivity to cultural factors affecting quality of care.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.Latino patients age ≥50 from primary care practices in California.Thirty-five items hypothesized to assess clinicians' sensitivity.Validity and reliability of cultural sensitivity measures.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.The Clinicians' Cultural Sensitivity Survey can be used to assess the quality of care of older Latino patients.
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