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Patient Experience for Hispanic Older Adults Varies by Language Preference
Robert Weech-Maldonado1, Amelia M Haviland2,3, Katrin Hambarsoomian4
1University of Alabama, Birmingham, Birmingham, AL.
Medical Care
|November 10, 2022
Summary
Hispanic Medicare patients face care disparities, with language preference influencing experiences. Spanish-preferring English speakers reported the worst outcomes, highlighting the need for culturally sensitive care improvements.
Area of Science:
- Health Services Research
- Health Disparities
- Patient Experience
Background:
- Hispanic Medicare beneficiaries report poorer patient experiences compared to non-Hispanic White individuals.
- Existing research has not fully explored how these disparities differ based on language preference (English/Spanish).
Purpose of the Study:
- To analyze Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) data from 2014-2018.
- To determine if patient experience disparities for Hispanic Medicare enrollees vary by their language preference.
Main Methods:
- Utilized a large dataset of Medicare CAHPS surveys (2014-2018).
- Employed linear, case-mix adjusted models to predict patient experience measures.
- Compared outcomes across Hispanic Spanish-respondents, Hispanic Spanish-preferring English-respondents, Hispanic English-preferring respondents, and non-Hispanic White English-respondents.
Main Results:
- All Hispanic subgroups experienced disparities compared to non-Hispanic White respondents.
- Hispanic Spanish-preferring English-respondents reported significantly worse experiences in areas like timely care and doctor communication.
- Hispanic English-preferring respondents also showed worse experiences than Hispanic Spanish-respondents in several key areas.
Conclusions:
- Hispanic individuals with Medicare consistently face patient care disparities, irrespective of language preference.
- Hispanic Spanish-preferring English-respondents reported the most negative experiences, followed by Hispanic English-preferring respondents.
- Hispanic Spanish-respondents experienced the fewest disparities among the studied Hispanic subgroups.
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