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Ethnic differences in patients' perceptions towards isolated orthopedic injuries: a pilot study
Boris A Zelle1, Gurpreet Singh1, Deanna L Kitchen1
1Department of Orthopaedics, UT Health San Antonio, 7703 Floyd Curl Dr, MC-7774, San Antonio, TX 78229 USA.
Pilot and Feasibility Studies
|November 17, 2017
Summary
Hispanic patients with orthopedic injuries reported poorer perceptions and less trust in their doctors compared to non-Hispanic whites. This pilot study highlights ethnic disparities in healthcare perceptions following trauma.
Area of Science:
- Orthopedic Surgery
- Health Services Research
- Health Disparities
Background:
- Patient perceptions of healthcare impact outcomes after orthopedic trauma.
- Significant differences exist in healthcare perceptions between Hispanic and non-Hispanic white populations.
- Ethnic disparities in perceptions of orthopedic injuries remain under-examined.
Purpose of the Study:
- To explore ethnic differences in perceptions of isolated orthopedic injuries between Hispanic and non-Hispanic white patients.
- To gather pilot data for a larger clinical investigation and intervention study.
Main Methods:
- A cross-sectional observational pilot study of 43 patients with isolated orthopedic injuries requiring surgery.
- Inclusion of Hispanic and non-Hispanic white participants.
- Utilized the Questionnaire of Perceived Injustice (QPI), SF-36v2, Pain Catastrophizing Scale, and CAHPS Cultural Competence (CC) item set.
Main Results:
- Hispanic patients trended towards higher QPI scores, indicating poorer outcomes.
- The mental component summary score of the SF-36v2 was lower in Hispanic patients.
- Hispanic patients reported less trust in their physicians.
Conclusions:
- Ethnic differences in patient perceptions of isolated orthopedic injuries are suggested.
- Pilot data support sample size calculation for future research.
- Further investigation is needed to understand the impact of these disparities on functional outcomes and to develop interventions.
