This study investigated correlations between patient-centered qualities of primary-care providers (N = 64) and how those qualities correlated with 3 quantifiable patient-health outcomes as assessed through the aggregate data available in the electronic health records (EHR): Controlling high blood pressure, low density lipoprotein (LDL) management for diabetics, and hemoglobin A1c poor control for diabetics. Patient-centered qualities were defined as having the qualities of empathy, cultural competence, and mindfulness—the ability to be present in the moment in a nonjudgmental and accepting way. Through an online survey process, primary-care providers (PCP) completed the Jefferson Scale of Physician Empathy (JSE), the Cultural Competence Assessment (CCA), and the Freiburg Mindfulness Inventory (FMI). Providers were also asked about their level of Motivational Interviewing (MI) training and the level of MI use. OCHIN provided the researcher with the health outcomes data of the hypertension and diabetic patients on the panels of the participating PCPs. The correlations between provider scores on the surveys and the patient-health outcomes data were examined using Pearson's product-moment correlation coefficient (Pearson's r). Results showed a significant positive correlation between % diabetic LDL controlled and cultural competence (r = .285, p ≤ 0.05). Cultural competence was also non-significantly positively correlated with % blood pressure (BP) < 140/90 (r = .205). The research revealed a non-significant negative correlation between cultural competence and % HbA1c poor control (r = -.172).
|Commitee:||Labby, David, Snow, Renee|
|School:||Institute of Transpersonal Psychology|
|Department:||Global Psychology with a concentration in Transpersonal Psychology|
|School Location:||United States -- California|
|Source:||DAI-B 76/04(E), Dissertation Abstracts International|
|Subjects:||Public health, Health care management|
|Keywords:||Cultural competence, Electronic health records, Empathy, Health care reform, Mindfulness, Patient-centered|
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