TY - JOUR
KW - Adult
KW - Analysis of Variance
KW - Attitude to Health/ethnology
KW - Case Management
KW - Cultural Diversity
KW - Emergencies/psychology
KW - Emergency Services, Psychiatric/organization & administration
KW - Factor Analysis, Statistical
KW - Female
KW - Health Services Accessibility
KW - Healthcare Disparities
KW - Humans
KW - Male
KW - Mental Disorders/ethnology
KW - Minority Groups/psychology
KW - New York
KW - Nursing Methodology Research
KW - Prejudice
KW - Primary Health Care/organization & administration
KW - Qualitative Research
KW - Questionnaires
KW - Referral and Consultation/organization & administration
KW - Socioeconomic Factors
KW - Stereotyping
AU - J. S. Roman
AU - K. S. Griswold
AU - S. J. Smith
AU - T. J. Servoss
A1 - 
AB - BACKGROUND: Patients' race or ethnic background may affect their ability to access health care due to their socioeconomic status, hereditary predispositions to illnesses, or discrimination either perceived or actual by those providing health care. For patients with mental health disorders, additional barriers are created due to poor experiences with the health care system. METHODS: This was a mixed methods randomized control study examining the effectiveness of care managers linking patients to primary care after psychiatric crisis. The aim reported in this paper was to analyze differences by minority status in patients' quantitative and qualitative responses before and after facilitation to primary care (N=85). Patients responded to a "patient enablement" and primary care index assessing their feelings of empowerment after a primary care visit; and to qualitative questions about their experiences and perceptions of care. FINDINGS: Following a primary care visit, responses by minority and non-minority individuals did not differ significantly on either the patient enablement or primary care index score. On qualitative inquiry, both non-minorities and minorities reported positive and negative views of their health, with corresponding positive and negative health experiences. DISCUSSION: In sum, there were no differences in patient enablement between the minority and non-minority subgroups over the course of the study, nor were there any changes in patient's perception of their relationship with healthcare providers. However, this cohort found primary care services less satisfactory than a general population without mental illness. Patients with psychiatric disorders experience stigmatization in their attempts to access health care. This stigma may have a greater impact than race and ethnicity, thereby leading to a similarity in perception of health care between minorities and non-minorities with mental illness.
BT - Journal of cultural diversity
C5 - Healthcare Disparities
CP - 2
CY - United States
IS - 2
JF - Journal of cultural diversity
N2 - BACKGROUND: Patients' race or ethnic background may affect their ability to access health care due to their socioeconomic status, hereditary predispositions to illnesses, or discrimination either perceived or actual by those providing health care. For patients with mental health disorders, additional barriers are created due to poor experiences with the health care system. METHODS: This was a mixed methods randomized control study examining the effectiveness of care managers linking patients to primary care after psychiatric crisis. The aim reported in this paper was to analyze differences by minority status in patients' quantitative and qualitative responses before and after facilitation to primary care (N=85). Patients responded to a "patient enablement" and primary care index assessing their feelings of empowerment after a primary care visit; and to qualitative questions about their experiences and perceptions of care. FINDINGS: Following a primary care visit, responses by minority and non-minority individuals did not differ significantly on either the patient enablement or primary care index score. On qualitative inquiry, both non-minorities and minorities reported positive and negative views of their health, with corresponding positive and negative health experiences. DISCUSSION: In sum, there were no differences in patient enablement between the minority and non-minority subgroups over the course of the study, nor were there any changes in patient's perception of their relationship with healthcare providers. However, this cohort found primary care services less satisfactory than a general population without mental illness. Patients with psychiatric disorders experience stigmatization in their attempts to access health care. This stigma may have a greater impact than race and ethnicity, thereby leading to a similarity in perception of health care between minorities and non-minorities with mental illness.
PP - United States
PY - 2008
SN - 1071-5568; 1071-5568
SP - 56
EP - 60
EP - 
T1 - How patients view primary care: Differences by minority status after psychiatric emergency
T2 - Journal of cultural diversity
TI - How patients view primary care: Differences by minority status after psychiatric emergency
U1 - Healthcare Disparities
U2 - 18649441
VL - 15
VO - 1071-5568; 1071-5568
Y1 - 2008
ER -