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Spanish-Speaking Patients Perceive High Quality Care in Resident Continuity Practices: A CORNET Study

Department of Pediatrics, Franklin Square Hospital Center, Baltimore, Maryland, scott.krugman{at}medstar.net

Lilia Parra-Roide, MD

Department of Pediatrics, St. Joseph's Hospital & Medical Center, Phoenix, Arizona

Wendy L. Hobson, MD, MSPH

Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah

Lynn C. Garfunkel, MD

Department of Pediatrics, University of Rochester School of Medicine and Rochester General Hospital, Rochester, New York

Janet R. Serwint, MD

Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland

Prior research has demonstrated that limited English proficiency in Hispanic patients is associated with adverse health outcomes. The authors sought to compare the perception of primary care in resident practices between Spanish-speaking and English-speaking parents using a previously validated tool, the Parents' Perception of Primary Care. Using survey results from 19 CORNET sites nationwide, they compared mean scores for each primary care domain and the full scale between the groups using Student's t test. Multiple linear regression models compared outcomes controlling for demographic variables. Of the 2122 analyzable surveys, 490 (23%) were completed in Spanish and 1632 (77%) in English. The mean scores for each domain and the total scale were not statistically different between the 2 groups. After adjustment, Spanish-speaking parents rated communication significantly higher. Resident clinics may use systems to provide high quality care to Spanish-speaking patients, which may help other sites improve care.

Key Words: translation services • quality of care • continuity • Spanish speaking • limited English proficiency • CORNET

This version was published on April 1, 2009

Clinical Pediatrics, Vol. 48, No. 3, 304-310 (2009)
DOI: 10.1177/0009922808327495


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