Patient and family-centered care among Middle Eastern and North African children living in the United States.
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| Titel: | Patient and family-centered care among Middle Eastern and North African children living in the United States. |
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| Autoren: | Brannon GE; Department of Communication, The University of Texas at Arlington, 700 West Greek Row Drive, Arlington, TX 76019, United States. Electronic address: grace.brannon@uta.edu., Kindratt TB; Public Health Programs, Department of Kinesiology, The University of Texas at Arlington, 500 West Nedderman Drive, Arlington, TX 76019, United States. Electronic address: tiffany.kindratt@uta.edu. |
| Quelle: | Patient education and counseling [Patient Educ Couns] 2025 Dec; Vol. 141, pp. 109350. Date of Electronic Publication: 2025 Sep 13. |
| Publikationsart: | Journal Article |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Elsevier Country of Publication: Ireland NLM ID: 8406280 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5134 (Electronic) Linking ISSN: 07383991 NLM ISO Abbreviation: Patient Educ Couns Subsets: MEDLINE |
| Imprint Name(s): | Publication: Limerick : Elsevier Original Publication: Princeton, N.J. : Excerpta Medica, c1983- |
| MeSH-Schlagworte: | Parents*/psychology , Patient-Centered Care*/statistics & numerical data , Quality of Health Care*, Adolescent ; Adult ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Male ; Emigrants and Immigrants/psychology ; Emigrants and Immigrants/statistics & numerical data ; Middle Eastern People/psychology ; Middle Eastern People/statistics & numerical data ; North African People/psychology ; North African People/statistics & numerical data ; United States/ethnology |
| Abstract: | Competing Interests: Declaration of Competing interest The authors have nothing to declare. Objectives: National estimates of the quality of care received by Middle Eastern and North African (MENA) individuals are unknown. Perceptions of patient-centered care (PCC) are important indicators of quality of care that differ by racial/ethnic minority groups. Our study aimed to estimate differences in parents' perceptions of patient- and family-centered care (PFCC), an indicator of quality of care perceived by parents, between foreign-born MENA and other racial and ethnic groups. Methods: Data from 2000 to 2017 National Health Interview Survey and 2001-2018 Medical Expenditure Panel Survey was combined and analyzed at a federal statistical research data center, using the Head and Bute's extension of Street's ecological model as theoretical lens. The sample included 33,677 parents of foreign-born MENA children who reported visiting a health care provider within the past 12 months. Dependent variables included parent reports of communication variables related to how often providers: listened; showed respect; spent enough time; and explained things well. Multivariable logistic regression was used to evaluate the odds of receiving PFCC using a composite measure of PFCC quality and separate domains. Results: Parents of foreign-born MENA children had higher odds of reporting all PFCC qualities compared to foreign-born White (OR=2.49; 95 %CI=1.04-5.97) and Asian (OR=2.54; 95 %CI=1.13-5.68) groups. When separated by PFCC quality, parents of foreign-born MENA children had 3.23 times higher odds (95 %CI= 1.18-8.81) of reporting that their provider spent enough time with them compared to foreign-born Hispanics. Conclusions: This study provides the first estimates of PFCC among MENA adults. Future studies can be designed to test unique health interventions and make recommendations for providers to deliver more culturally responsive care. Practice Implications: Findings add to the timely dialog advocating for a separate racial/ethnic category for MENA populations recently proposed by the US government and acknowledged by scientists for more rigorous and accurate assessments of health equity for all US populations. (Copyright © 2025. Published by Elsevier B.V.) |
| Contributed Indexing: | Keywords: Arab American; Health care quality; Medical expenditure panel survey; Middle Eastern and North African; National health interview survey; Patent-provider communication; Patient- and family-centered care; Patient-centered care |
| Entry Date(s): | Date Created: 20250919 Date Completed: 20251017 Latest Revision: 20251118 |
| Update Code: | 20251118 |
| DOI: | 10.1016/j.pec.2025.109350 |
| PMID: | 40972075 |
| Datenbank: | MEDLINE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: Declaration of Competing interest The authors have nothing to declare.<br />Objectives: National estimates of the quality of care received by Middle Eastern and North African (MENA) individuals are unknown. Perceptions of patient-centered care (PCC) are important indicators of quality of care that differ by racial/ethnic minority groups. Our study aimed to estimate differences in parents' perceptions of patient- and family-centered care (PFCC), an indicator of quality of care perceived by parents, between foreign-born MENA and other racial and ethnic groups.<br />Methods: Data from 2000 to 2017 National Health Interview Survey and 2001-2018 Medical Expenditure Panel Survey was combined and analyzed at a federal statistical research data center, using the Head and Bute's extension of Street's ecological model as theoretical lens. The sample included 33,677 parents of foreign-born MENA children who reported visiting a health care provider within the past 12 months. Dependent variables included parent reports of communication variables related to how often providers: listened; showed respect; spent enough time; and explained things well. Multivariable logistic regression was used to evaluate the odds of receiving PFCC using a composite measure of PFCC quality and separate domains.<br />Results: Parents of foreign-born MENA children had higher odds of reporting all PFCC qualities compared to foreign-born White (OR=2.49; 95 %CI=1.04-5.97) and Asian (OR=2.54; 95 %CI=1.13-5.68) groups. When separated by PFCC quality, parents of foreign-born MENA children had 3.23 times higher odds (95 %CI= 1.18-8.81) of reporting that their provider spent enough time with them compared to foreign-born Hispanics.<br />Conclusions: This study provides the first estimates of PFCC among MENA adults. Future studies can be designed to test unique health interventions and make recommendations for providers to deliver more culturally responsive care.<br />Practice Implications: Findings add to the timely dialog advocating for a separate racial/ethnic category for MENA populations recently proposed by the US government and acknowledged by scientists for more rigorous and accurate assessments of health equity for all US populations.<br /> (Copyright © 2025. Published by Elsevier B.V.) |
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| ISSN: | 1873-5134 |
| DOI: | 10.1016/j.pec.2025.109350 |