scholarly journals Validation of a patient-centered culturally sensitive health care office staff inventory

2014 ◽  
Vol 16 (05) ◽  
pp. 506-512 ◽  
Author(s):  
Carolyn M. Tucker ◽  
Whitney Wall ◽  
Michael Marsiske ◽  
Khanh Nghiem ◽  
Julia Roncoroni
Keyword(s):  
Health Care ◽  
Cultural Sensitivity ◽  
Care Delivery ◽  
Demographic Data ◽  
Reliability And Validity ◽  
Internal Consistency Reliability ◽  
The United States ◽  
Culturally Sensitive ◽  
Office Staff ◽  
Front Desk

Aim/BackgroundResearch suggests that patient-perceived culturally sensitive health care encompasses multiple components of the health care delivery system including the cultural sensitivity of front desk office staff. Despite this, research on culturally sensitive health care focuses almost exclusively on provider behaviors, attitudes, and knowledge. This is due in part to the paucity of instruments available to assess the cultural sensitivity of front desk office staff. Thus, the objective of the present study is to determine the psychometric properties of the pilot Tucker-Culturally Sensitive Health Care Office Staff Inventory-Patient Form (T-CSHCOSI-PF), which is an instrument designed to enable patients to evaluate the patient-defined cultural sensitivity of their front desk office staff.MethodsA sample of 1648 adult patients was recruited by staff at 67 health care sites across the United States. These patients anonymously completed the T-CSHCOSI-PF, a demographic data questionnaire, and a patient satisfaction questionnaire.FindingsConfirmatory factor analyses of the TCSHCOSI-PF revealed that this inventory has two factors with high internal consistency reliability and validity (Cronbach’sαs=0.97 and 0.95).ConclusionsIt is concluded that the T-CSHCOSI-PF is a psychometrically strong and useful inventory for assessing the cultural sensitivity of front desk office staff. This inventory can be used to support culturally sensitive health care research, evaluate the job performance of front desk office staff, and aid in the development of trainings designed to improve the cultural sensitivity of these office staff.

scholarly journals Cultural Awareness and Sensitivity of Students in a Physical Therapy Program – A Pilot Survey

2018 ◽  
Author(s):  
Olaide Oluwole-Sangoseni ◽  
Michelle Jenkins-Unterberg
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Cultural Sensitivity ◽  
Health Care Professionals ◽  
Cultural Awareness ◽  
Health Care Disparities ◽  
Care Delivery ◽  
The United States ◽  
Cross Sectional Survey ◽  
Significant Difference

Background: Attempts to address health and health care disparities in the United States have led to a renewed focus on the training of healthcare professionals including physical therapists. Current health care policies emphasize culturally competent care as a means of promoting equity in care delivery by health care professionals. Experts agree that cultural insensitivity has a negative association with health professionals’ ability to provide quality care. Objective: To evaluate the cultural awareness and sensitivity of physical therapy (PT) students in a didactic curriculum aimed to increase cultural awareness. Methods: Using the Multicultural Sensitivity Scale (MSS), a cross-sectional survey was conducted to assess cultural sensitivity among three groups of students, (N = 139) from a doctor of physical therapy (DPT) program at a liberal arts university in Saint Louis, MO. Results: Response rate was 76.3%. Participants (n=100) were students in first (DPT1, n=36), third (DPT3, n=36), and sixth (DPT6, n=28) year of the program. Mean ranked MSS score was DPT1 = 45.53, DPT3 = 46.60 DPT6 = 61.91. Kruskal-Wallis analysis of the mean ranked scores showed a significant difference among three groups, H = 6.05 (2, N=100), p ≤ .05. Discussion: Students who have completed the cultural awareness curriculum, and undergone clinical experiences rated themselves higher on the cultural sensitivity/awareness. Results provide initial evidence that experiential learning opportunities may help PT students to more effectively integrate knowledge from classroom activities designed to facilitate cultural competence.

scholarly journals Trends in Teledermatology Utilization in the United States (Preprint)

2021 ◽  
Author(s):  
Akash D Patel ◽  
Chandler W Rundle ◽  
Meenal Kheterpal
Keyword(s):  
Health Care ◽  
American Academy ◽  
Care Delivery ◽  
Demographic Data ◽  
National Level ◽  
The United States ◽  
Younger Patients ◽  
Care Delivery Model ◽  
Level Data ◽  
Total Data

BACKGROUND Teledermatology is an effective health care delivery model that has seen tremendous growth over the last decade. This growth can be attributed to a variety of factors, including but not limited to an increased access to dermatologic care for those with socioeconomic or geographic barriers, a reduction in health care costs for both the patient and the physician, and the delivery of high-quality dermatologic care. However, the associated barriers include practice reimbursements, interstate licensing, and liability. Despite these apparent barriers, the emergence of COVID-19 afforded teledermatology a surge of demand and loosened regulations, allowing dermatologists to see higher volumes of teledermatology patients. In this paper, we analyzed the American Academy of Dermatology’s DataDerm registry teledermatology utilization and patient demographic trends throughout the COVID-19 pandemic. OBJECTIVE The aim of this paper was to characterize national-level teledermatology demographic data in the setting of the COVID-19 pandemic. METHODS National-level data were curated for all practices enrolled in the American Academy of Dermatology’s DataDerm registry from April 1, 2020, through June 30, 2021. Encounter utilization rates were collected for visit type (ie, teledermatology versus in person), sex, race, age, insurance provider, and location (ie, in state versus out of state). The aggregate total data, as opposed to individual encounter data, were collected. RESULTS The proportion of women who utilized services via teledermatology (65,023/98,642, 65.9%) was greater than that of those who utilized in-person services (29,40,122/50,48,450, 58.2%). Non-White patients made up a higher percentage of teledermatology utilizers (8920/62,324, 15%) when compared with in-person utilizers (3,94,580/35,08,150, 11.7%). Younger patients (aged <40) contributed more to teledermatology service utilization (62,695/75,319, 83.2%) when compared with in-person services (13,29,218/33,01,175, 40.3%). Medicare was a larger payor contributor for in-person services (8232/1,53,279, 25.2%) than for teledermatology services (10,89,777/43,30,882, 5.4%). Utilization by out-of-state patients was proportionally higher for teledermatology services (19,422/1,33,416, 14.6%) compared with in-person services (5,80,358/1,38,31,400, 4.2%). CONCLUSIONS Teledermatology services may reach and benefit certain populations (female, younger patients, those with non-White racial backgrounds, and out-of-state patients) more so than others. These baseline demographics may also serve to highlight populations for potential future teledermatology outreach efforts.

Patient Perceived Cultural Sensitivity of Clinic Environment and Its Association With Patient Satisfaction With Care and Treatment Adherence

2014 ◽  
Vol 8 (6) ◽  
pp. 421-429 ◽  
Author(s):  
Julia Roncoroni ◽  
Carolyn M. Tucker ◽  
Whitney Wall ◽  
Khanh Nghiem ◽  
Rachel Sierra Wheatley ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Treatment Adherence ◽  
Cultural Sensitivity ◽  
The United States ◽  
Culturally Sensitive ◽  
Satisfaction With Care ◽  
Patient Centered ◽  
The Relationship ◽  
Patient Satisfaction With Care

Research suggests that patient-centered culturally sensitive health care may be an important precursor to patient satisfaction and treatment adherence. Data from this study are a subset from the data collected for the Patient-Centered Culturally Sensitive Health Care and Health Promotion Research Project. The present study was designed to (a) explore the relationship between patients’ perceived patient-centered cultural sensitivity of their health care sites (ie, the physical and social environment and clinic policies) and their self-reported adherence to treatment and (b) investigate whether this relationship is mediated by satisfaction with health care experienced. Participants consisted of a low-income, culturally diverse sample of 1581 patients from 67 health care sites across the United States. A significant positive relationship between patients’ perceived patient-centered cultural sensitivity of their health care sites and their self-reported treatment adherence to a prescribed regimen was observed. Patient satisfaction with care partially mediated the relationship between these 2 variables. Assessing the level of patient-centered cultural sensitivity patients perceive in their health care sites might provide guidance to health care administrators as to how to make their sites more culturally sensitive from the perspective of patients. This, in turn, might increase patients’ treatment adherence, leading to improved health outcomes.

scholarly journals Validation of an Inventory for Providers to Self-Assess Their Engagement in Patient-Centered Culturally Sensitive Health Care

2017 ◽  
Vol 4 (3) ◽  
pp. 129-137
Author(s):  
Carolyn M Tucker ◽  
Julia Roncoroni ◽  
Guillermo Wippold ◽  
Whitney Wall ◽  
Michael Marsiske
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cultural Sensitivity ◽  
Culturally Diverse ◽  
The United States ◽  
Culturally Sensitive ◽  
Care Providers ◽  
Validity And Reliability ◽  
Patient Centered ◽  
Culturally Sensitive Care

Objective: Cultural sensitivity training of health-care providers could help eliminate health disparities. The Tucker-Culturally Sensitive Health-Care Provider Inventory (T-CSHCPI) is an inventory for providers to self-assess their engagement in patient-defined/-centered culturally sensitive health care. The T-CSHCPI is novel in that it assesses providers’ strengths and areas of growth in their efforts to provide culturally sensitive care as defined by culturally diverse patients. Methods: Using ratings on this inventory by a sample of culturally diverse providers (N = 291) from 67 health-care sites across the United States, a confirmatory analysis of the T-CSHCPI was conducted, and its validity and reliability were determined. Results: Factor analysis produced a final solution with 4 factors (interpersonal skills, conscientiousness, sensitivity, and disrespect/disempowerment) that were reliable. These 4 factors are associated with cultural competence, suggesting validity. Discussion: The T-CSHCPI measures independent dimensions of patient-centered care as identified by a national sample of health-care providers. The T-CSHCPI can be used to inform training that promotes patient-centered culturally sensitive health care by providers.

scholarly journals Trends in Teledermatology Utilization in the United States

Iproceedings ◽  
10.2196/35439 ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. e35439
Author(s):  
Akash D Patel ◽  
Chandler W Rundle ◽  
Meenal Kheterpal
Keyword(s):  
Health Care ◽  
American Academy ◽  
Care Delivery ◽  
Demographic Data ◽  
National Level ◽  
The United States ◽  
Younger Patients ◽  
Care Delivery Model ◽  
Level Data ◽  
Total Data

Background Teledermatology is an effective health care delivery model that has seen tremendous growth over the last decade. This growth can be attributed to a variety of factors, including but not limited to an increased access to dermatologic care for those with socioeconomic or geographic barriers, a reduction in health care costs for both the patient and the physician, and the delivery of high-quality dermatologic care. However, the associated barriers include practice reimbursements, interstate licensing, and liability. Despite these apparent barriers, the emergence of COVID-19 afforded teledermatology a surge of demand and loosened regulations, allowing dermatologists to see higher volumes of teledermatology patients. In this paper, we analyzed the American Academy of Dermatology’s DataDerm registry teledermatology utilization and patient demographic trends throughout the COVID-19 pandemic. Objective The aim of this paper was to characterize national-level teledermatology demographic data in the setting of the COVID-19 pandemic. Methods National-level data were curated for all practices enrolled in the American Academy of Dermatology’s DataDerm registry from April 1, 2020, through June 30, 2021. Encounter utilization rates were collected for visit type (ie, teledermatology versus in person), sex, race, age, insurance provider, and location (ie, in state versus out of state). The aggregate total data, as opposed to individual encounter data, were collected. Results The proportion of women who utilized services via teledermatology (65,023/98,642, 65.9%) was greater than that of those who utilized in-person services (29,40,122/50,48,450, 58.2%). Non-White patients made up a higher percentage of teledermatology utilizers (8920/62,324, 15%) when compared with in-person utilizers (3,94,580/35,08,150, 11.7%). Younger patients (aged <40) contributed more to teledermatology service utilization (62,695/75,319, 83.2%) when compared with in-person services (13,29,218/33,01,175, 40.3%). Medicare was a larger payor contributor for in-person services (8232/1,53,279, 25.2%) than for teledermatology services (10,89,777/43,30,882, 5.4%). Utilization by out-of-state patients was proportionally higher for teledermatology services (19,422/1,33,416, 14.6%) compared with in-person services (5,80,358/1,38,31,400, 4.2%). Conclusions Teledermatology services may reach and benefit certain populations (female, younger patients, those with non-White racial backgrounds, and out-of-state patients) more so than others. These baseline demographics may also serve to highlight populations for potential future teledermatology outreach efforts. Conflict of Interest None declared.

Cultural Sensitivity of Health Care Office Staff and Its Association With Treatment Adherence

2013 ◽  
Author(s):  
Whitney Wall ◽  
Carolyn M. Tucker ◽  
Julia Roncoroni ◽  
Jackeline Sanchez ◽  
Amna Imran ◽  
...  
Keyword(s):  
Health Care ◽  
Treatment Adherence ◽  
Cultural Sensitivity ◽  
Office Staff

Validation of a Culturally Sensitive Health Care Office Staff Inventory

2013 ◽  
Author(s):  
Julia Roncoroni ◽  
Carolyn M. Tucker ◽  
Jackeline Sanchez ◽  
Whitney Wall ◽  
Rachel Wheatley ◽  
...  
Keyword(s):  
Health Care ◽  
Culturally Sensitive ◽  
Office Staff

Nurse Practitioner Challenges to the Orthodox Structure of Health Care Delivery: Regulation and Restraints on Trade

1985 ◽  
Vol 11 (2) ◽  
pp. 195-225
Author(s):  
Karla Kelly
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Delivery ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Allied Health ◽  
Care Delivery ◽  
The United States ◽  
Care Providers ◽  
Allied Health Care

AbstractUntil recently, physicians have been the primary health care providers in the United States. In response to the rising health care costs and public demand of the past decade, allied health care providers have challenged this orthodox structure of health care delivery. Among these allied health care providers are nurse practitioners, who have attempted to expand traditional roles of the registered nurse.This article focuses on the legal issues raised by several major obstacles to the expansion of nurse practitioner services: licensing restrictions, third party reimbursement policies, and denial of access to medical facilities and physician back-up services. The successful judicial challenges to discriminatory practices against other allied health care providers will be explored as a solution to the nurse practitioners’ dilemma.

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