Ethnic differences in patients’ perceptions towards isolated orthopedic injuries: a pilot study
Abstract Background Patients’ perceptions of their healthcare have been reported to influence clinical outcomes following orthopedic trauma. Findings across clinical outcomes have demonstrated significant differences in perceptions towards healthcare between Hispanics and non-Hispanic whites. Howeve...
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| Format: | Article |
| Language: | English |
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BMC
2017-11-01
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| Series: | Pilot and Feasibility Studies |
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| Online Access: | http://link.springer.com/article/10.1186/s40814-017-0188-x |
| _version_ | 1818277961770467328 |
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| author | Boris A. Zelle Gurpreet Singh Deanna L. Kitchen Roberto J. Fajardo Mohit Bhandari Melissa A. Valerio |
| author_facet | Boris A. Zelle Gurpreet Singh Deanna L. Kitchen Roberto J. Fajardo Mohit Bhandari Melissa A. Valerio |
| author_sort | Boris A. Zelle |
| collection | DOAJ |
| description | Abstract Background Patients’ perceptions of their healthcare have been reported to influence clinical outcomes following orthopedic trauma. Findings across clinical outcomes have demonstrated significant differences in perceptions towards healthcare between Hispanics and non-Hispanic whites. However, ethnic disparities in perceptions towards orthopedic injuries have not been examined in the literature. Aim of study The aim of this pilot study is to explore whether Hispanic patients with isolated orthopedic injuries will demonstrate different perceptions towards their injury as compared to non-Hispanic white patients. The pilot data will be used to inform a subsequent larger clinical investigation and interventional study. Methods A total of 43 patients (31 Hispanics and 12 non-Hispanic whites) with isolated orthopedic injuries requiring surgical treatment were enrolled in this cross-sectional observational pilot study. Outcome measures included the Questionnaire of Perceived Injustice (QPI), Short-Form 36 Health Survey (SF-36v2), Pain Catastrophizing Scale, and Consumer Assessment of Healthcare Providers and Systems (CAHPS) Cultural Competence (CC) item set. Results The CAHPS was completed by 34 patients, and the remaining scoring systems were completed by all 43 subjects enrolled in this study. Hispanic patients trended towards higher QPI scores indicating poorer outcomes than non-Hispanic whites (mean difference [MD] 5.4, 95%; confidence interval [CI] − 4.4, 15.2). The mental component summary score of the SF-36 trended lower in Hispanics as compared to non-Hispanic white (MD − 6.8, 95%; CI − 15.0, 1.4). Hispanic patients also expressed less trust in their doctor on a scale from 0 to 10 (MD − 1.0, 95%; CI − 1.9, − 0.1). Conclusions Our study suggests ethnic differences in patients’ perceptions towards isolated orthopedic injuries. These results must be interpreted cautiously given the limited number of subjects in this pilot examination. We collected sufficient data to allow a sample size calculation for a subsequent larger clinical investigation. Future clinical investigations may determine the influence of ethnic differences in patients’ perceptions towards orthopedic injuries, identify their impact on the functional outcomes, and establish intervention strategies. |
| first_indexed | 2024-12-12T23:09:52Z |
| format | Article |
| id | doaj.art-2f595fd0e1ee4a138b72be1253042d1a |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-12-12T23:09:52Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-2f595fd0e1ee4a138b72be1253042d1a2022-12-22T00:08:37ZengBMCPilot and Feasibility Studies2055-57842017-11-01311710.1186/s40814-017-0188-xEthnic differences in patients’ perceptions towards isolated orthopedic injuries: a pilot studyBoris A. Zelle0Gurpreet Singh1Deanna L. Kitchen2Roberto J. Fajardo3Mohit Bhandari4Melissa A. Valerio5Department of Orthopaedics, UT Health San AntonioDepartment of Orthopaedics, UT Health San AntonioDepartment of Orthopaedics, UT Health San AntonioDepartment of Orthopaedics, UT Health San AntonioDivision of Orthopaedic Surgery, McMaster UniversityUT Health School of Public HealthAbstract Background Patients’ perceptions of their healthcare have been reported to influence clinical outcomes following orthopedic trauma. Findings across clinical outcomes have demonstrated significant differences in perceptions towards healthcare between Hispanics and non-Hispanic whites. However, ethnic disparities in perceptions towards orthopedic injuries have not been examined in the literature. Aim of study The aim of this pilot study is to explore whether Hispanic patients with isolated orthopedic injuries will demonstrate different perceptions towards their injury as compared to non-Hispanic white patients. The pilot data will be used to inform a subsequent larger clinical investigation and interventional study. Methods A total of 43 patients (31 Hispanics and 12 non-Hispanic whites) with isolated orthopedic injuries requiring surgical treatment were enrolled in this cross-sectional observational pilot study. Outcome measures included the Questionnaire of Perceived Injustice (QPI), Short-Form 36 Health Survey (SF-36v2), Pain Catastrophizing Scale, and Consumer Assessment of Healthcare Providers and Systems (CAHPS) Cultural Competence (CC) item set. Results The CAHPS was completed by 34 patients, and the remaining scoring systems were completed by all 43 subjects enrolled in this study. Hispanic patients trended towards higher QPI scores indicating poorer outcomes than non-Hispanic whites (mean difference [MD] 5.4, 95%; confidence interval [CI] − 4.4, 15.2). The mental component summary score of the SF-36 trended lower in Hispanics as compared to non-Hispanic white (MD − 6.8, 95%; CI − 15.0, 1.4). Hispanic patients also expressed less trust in their doctor on a scale from 0 to 10 (MD − 1.0, 95%; CI − 1.9, − 0.1). Conclusions Our study suggests ethnic differences in patients’ perceptions towards isolated orthopedic injuries. These results must be interpreted cautiously given the limited number of subjects in this pilot examination. We collected sufficient data to allow a sample size calculation for a subsequent larger clinical investigation. Future clinical investigations may determine the influence of ethnic differences in patients’ perceptions towards orthopedic injuries, identify their impact on the functional outcomes, and establish intervention strategies.http://link.springer.com/article/10.1186/s40814-017-0188-xHealthcare disparitiesPerceptionsInjuryHispanic |
| spellingShingle | Boris A. Zelle Gurpreet Singh Deanna L. Kitchen Roberto J. Fajardo Mohit Bhandari Melissa A. Valerio Ethnic differences in patients’ perceptions towards isolated orthopedic injuries: a pilot study Pilot and Feasibility Studies Healthcare disparities Perceptions Injury Hispanic |
| title | Ethnic differences in patients’ perceptions towards isolated orthopedic injuries: a pilot study |
| title_full | Ethnic differences in patients’ perceptions towards isolated orthopedic injuries: a pilot study |
| title_fullStr | Ethnic differences in patients’ perceptions towards isolated orthopedic injuries: a pilot study |
| title_full_unstemmed | Ethnic differences in patients’ perceptions towards isolated orthopedic injuries: a pilot study |
| title_short | Ethnic differences in patients’ perceptions towards isolated orthopedic injuries: a pilot study |
| title_sort | ethnic differences in patients perceptions towards isolated orthopedic injuries a pilot study |
| topic | Healthcare disparities Perceptions Injury Hispanic |
| url | http://link.springer.com/article/10.1186/s40814-017-0188-x |
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