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Ethnicity and patient satisfaction with tuberculosis care: A cross‐sectional study
Author(s) -
Mukasa Jean P.,
Glass Nel,
Mnatzaganian George
Publication year - 2015
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/nhs.12202
Subject(s) - ethnic group , tuberculosis , cross sectional study , medicine , marital status , ethnically diverse , health care , mental health , family medicine , gerontology , psychiatry , environmental health , anthropology , economics , economic growth , population , pathology , sociology
Abstract Patients presenting in major tuberculosis ( TB ) centres in two A ustralian metropolitan hospitals and three central hospitals in M alawi were interviewed for health and other information, including their satisfaction with nursing care. The main objective of the study was to investigate differences in satisfaction rates among ethnically similar and different patients coming from two dissimilar health systems. A multivariable G eneralized E stimating E quations model was constructed to identify sociodemographic and health‐related factors associated with dissatisfaction, while focusing on ethnic differences between and within each country. The A ustralian and M alawian patients were similar in age, gender, marital status, and employment. However, the M alawians were mostly inpatients, with recurrent TB episodes, and were more seriously ill with impaired physical and mental wellbeing. Nonetheless, being A ustralian was more associated with dissatisfaction observed in all components of care. However, A ustralian ethnic minorities were less dissatisfied than their A nglo‐ S axon or E uropean counterparts, being more similar to M alawian patients irrespective of the health care provided. Our study suggests that patients coming from similar ethnic backgrounds may express similar satisfaction irrespective of the health system they belong to.