Preference for patient–provider ethnic concordance in Asian Americans

Yuri Jang, Hyunwoo Yoon, Miyong T. Kim, Nan Sook Park, David A. Chiriboga

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Objectives: The present study examined factors associated with the preference for patient–provider ethnic concordance in Asian Americans. Design: With data drawn from the 2015 Asian American Quality of Life Survey (N = 2535), a logistic regression model of the preference for patient–provider ethnic concordance was tested with demographic (age, gender, ethnicity, marital status, education), health and access (chronic medical conditions, self-rated health, health insurance coverage), immigration-related (place of birth, length of stay in the US, English proficiency, acculturation), and adverse experience (perceived discrimination, communication problems in healthcare settings) variables. Results: Over half (52.4%) of those in the sample preferred to be treated by a healthcare provider from their own ethnic background. In a multivariate model, the odds for preferring ethnic concordance were 1.52–1.64 times higher among individuals in earlier stages of immigration, language acquisition, and acculturation. Individuals who had experienced communication problems in healthcare settings presented 3.74 times higher odds for preferring ethnic concordance than did counterparts without such experience. Conclusions: The results emphasized the value of paying attention to patient–provider concordance when treating Asian Americans either relatively new to the country or who have had previous problems communicating with health professionals. The findings also provide implications for improving workforce diversity in healthcare delivery and medical education.

Original languageEnglish
Pages (from-to)448-459
Number of pages12
JournalEthnicity and Health
Volume26
Issue number3
DOIs
StatePublished - 2021

Bibliographical note

Publisher Copyright:
© 2018 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

  • Asian Americans
  • Patient–provider ethnic concordance
  • acculturation
  • communication problems in healthcare settings

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