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Health, Healthcare Utilization, and Satisfaction with Service: Barriers and Facilitators for Older Korean Americans
Author(s) -
Jang Yuri,
Kim Giyeon,
Chiriboga David A.
Publication year - 2005
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2005.53518.x
Subject(s) - medicine , health care , patient satisfaction , family medicine , odds , service (business) , perception , odds ratio , sample (material) , gerontology , nursing , logistic regression , psychology , marketing , chemistry , pathology , chromatography , neuroscience , economics , economic growth , business
The present study assessed predictive models of subjective perception of health, healthcare utilization (hospital visits), and satisfaction with healthcare service using a sample of 230 older Korean Americans. Predisposing characteristics (age, sex, and education), health needs (chronic conditions, functional disability, and number of sick days), and a variety of enabling factors (health insurance, English speaking ability, transportation, living arrangement, trust in Western medicine, and reported experience of disrespect in medical settings) were considered. After controlling for predisposing and need factors, health insurance coverage was found to be a significant enabling factor for hospital visits. Subjective perception of health was found to be significant not only for healthcare utilization, but also for satisfaction with service. A greater likelihood of satisfaction was also observed in individuals with health insurance, better English‐speaking ability, and greater trust in Western medical care. The reported experience of disrespect or discrimination in medical settings significantly reduced the odds of satisfaction with service.