Patient Experiences in a Linguistically Diverse Safety Net Primary Care Setting: Qualitative Study

Rachel L Berkowitz; Nimeka Phillip; Lyn Berry; Irene H Yen

doi:10.2196/jopm.9229

Patient Experiences in a Linguistically Diverse Safety Net Primary Care Setting: Qualitative Study

J Particip Med. 2018 Jan 22;10(1):e4. doi: 10.2196/jopm.9229.

Authors

Rachel L Berkowitz^#¹, Nimeka Phillip^#², Lyn Berry^#³, Irene H Yen^#^{4

5}

Affiliations

¹ DrPH Program, School of Public Health, University of California, Berkeley, Berkeley, CA, United States.
² Residency Program, Mountain Area Health Education Center, Hendersonville, NC, United States.
³ Division of Primary Care, Department of Medicine, Alameda Health System, Oakland, CA, United States.
⁴ Department of Medicine, University of California, San Francisco, San Francisco, CA, United States.
⁵ Department of Epidemiology & Biostatistics, University of California, San Francisco, San Francisco, CA, United States.

^# Contributed equally.

Abstract

Background: The patient-centered medical home model intends to improve patient experience and primary care quality. Within an urban safety net setting in Northern California, United States, these desired outcomes are complicated by both the diversity of the patient community and the care continuity implications of a residency program.

Objective: The objective of our study was to understand the patient experience beyond standardized satisfaction measures.

Methods: We conducted a qualitative study, interviewing 19 patients from the clinic (English-, Spanish-, or Mien-speaking patients).

Results: Some themes, such as the desire to feel confident in their doctor, emerged across language groups, pointing to institutional challenges. Other themes, such as distrust in care being provided, were tied distinctly to speaking a language different from one's provider. Still other themes, such as a sense of powerlessness, were related to cultural differences and to speaking a language (Mien) not spoken by staff.

Conclusions: Findings illuminate the need to understand cultural behaviors and interactional styles in a diverse patient population to create a high-quality medical home.

Keywords: communication barriers; patient-centered care; primary health care; qualitative research; quality of health care; safety-net providers; urban health services.

©Rachel L Berkowitz, Nimeka Phillip, Lyn Berry, Irene H Yen. Originally published in Journal of Participatory Medicine (http://jopm.jmir.org), 22.01.2018.