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Patient-centered quality measures for Asian Americans: research in progress.

Q Ngo-Metzger1, M P Massagli, B Clarridge

  • 1Beth Israel Deaconess Medical Center, Department of Medicine, Harvard Medical School, Boston, Mass. 02215, USA. qngometz@caregroup.harvard

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|August 19, 2000
PubMed
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This study developed a patient-centered questionnaire to assess healthcare quality for limited-English-proficient Asian Americans (AA). The validated instrument focuses on communication and access, offering a template for other vulnerable groups.

Area of Science:

  • Health Services Research
  • Patient-Reported Outcomes
  • Cultural Competency in Healthcare

Background:

  • Assessing healthcare quality for limited-English-proficient (LEP) Asian Americans (AA) is challenging due to language and cultural barriers.
  • Existing quality measures may not adequately capture the unique experiences of diverse LEP AA populations, specifically Chinese and Vietnamese descent.
  • Patient perspectives are crucial for understanding and improving healthcare delivery for underserved communities.

Purpose of the Study:

  • To develop and validate a culturally sensitive, patient-centered questionnaire to measure healthcare quality from the perspective of LEP Asian Americans (AA) of Chinese and Vietnamese descent.
  • To identify key issues related to communication and access to care that are important to this population.
  • To provide a reliable instrument for evaluating healthcare experiences and informing quality improvement initiatives.

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Main Methods:

  • Conducting focus groups with patients to identify salient issues in healthcare quality.
  • Drafting a questionnaire based on focus group findings and testing its validity using survey research methods and direct observation.
  • Field testing the questionnaire through face-to-face interviews with patients one month post-outpatient visit.
  • Evaluating alternative administration modes to assess feasibility and maximize response rates.

Main Results:

  • The study resulted in a validated, culturally sensitive, patient-centered instrument designed to measure healthcare quality for LEP AA patients.
  • The questionnaire addresses critical aspects of communication and access to care specific to Chinese and Vietnamese LEP AA individuals.
  • The research provides empirical evidence for the instrument's reliability and validity in assessing patient-reported healthcare quality.

Conclusions:

  • A validated, culturally sensitive questionnaire has been developed to measure healthcare quality for limited-English-proficient Asian Americans (AA) of Chinese and Vietnamese descent.
  • This instrument enhances the ability to assess and improve healthcare experiences for this vulnerable population, focusing on patient-centered communication and access.
  • The study offers a replicable template for developing similar patient-reported quality measures for other underserved and diverse populations.