| Title |
Exploring the characteristics and potential disparities of non-migrant and migrant colorectal cancer patients regarding their satisfaction and subjective perception of care – a cross-sectional study
|
|---|---|
| Published in |
BMC Health Services Research, June 2018
|
| DOI | 10.1186/s12913-018-3232-5 |
| Pubmed ID | |
| Authors |
Marja Leonhardt, Katja Aschenbrenner, Martin E. Kreis, Johannes C. Lauscher |
| Abstract |
Although a fifth of the German population has a migration background, health research regarding this population is scarce. The few existing studies on migrant health show that migrants are faced with restrictions regarding health care due to communication problems, a lack of information and distinct health literacy. Colorectal cancer (CRC) is the second most common tumor disease in Germany. The aim of the study is to explore the potential differences in patient characteristics between migrants and non-migrants with CRC and identify possible disparities between migrants and non-migrants regarding their satisfaction and perception with health care. A validated questionnaire was modified for CRC, supplemented with items regarding migration background, translated additionally into Arabic, Turkish and Russian and sent out to 1.694 CRC patients. The outcome indicator was 'health care satisfaction and experience' concerning 'medical consultation', 'medical treatment (therapy)' and 'hospital stay' measured on 10-point Likert-scales; explanatory variables were migration background, age, gender, mother tongue, occupation, follow-up care, current discomfort and current treatment. Following descriptive statistics, factor analysis was conducted to compute the outcome variables. Differences between migrants and non-migrants were analyzed using Mann-Whitney-U test and regression analyses. A total of 522 completed questionnaires - 30.8% response rate - were used for analysis. Patients with a migration background attended less often follow up care than non-migrant patients (74.7% vs. 88.6%; p = 0.001). Mean scores regarding satisfaction and experience with consultation, medical treatment (therapy) and hospital stay were 7.86, 7.11 and 7.51 for migrants and 7.84, 7.19 and 7.33 for non-migrants, measured on a 1 to 10 scale with 10 being most satisfied. Migrants were less satisfied with their own involvement in decision making (p = 0.029) and the aspect "responsiveness to patient's questions" (p = 0.048) than non-migrants. Migrants showed less compliance with regard to follow-up care than non-migrants. Furthermore, migrants were more often dissatisfied with communication with the medical staff than non-migrants. This shows the importance of (cross-cultural) communication skills on the part of physicians and nurses. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 119 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 119 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 14 | 12% |
| Student > Master | 13 | 11% |
| Student > Bachelor | 11 | 9% |
| Researcher | 9 | 8% |
| Student > Doctoral Student | 9 | 8% |
| Other | 19 | 16% |
| Unknown | 44 | 37% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 22 | 18% |
| Medicine and Dentistry | 19 | 16% |
| Psychology | 10 | 8% |
| Social Sciences | 6 | 5% |
| Agricultural and Biological Sciences | 3 | 3% |
| Other | 13 | 11% |
| Unknown | 46 | 39% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 March 2022.
All research outputs
#7,354,435
of 23,917,011 outputs
Outputs from BMC Health Services Research
#3,587
of 7,992 outputs
Outputs of similar age
#123,645
of 332,440 outputs
Outputs of similar age from BMC Health Services Research
#133
of 218 outputs
Altmetric has tracked 23,917,011 research outputs across all sources so far. This one has received more attention than most of these and is in the 68th percentile.
So far Altmetric has tracked 7,992 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.0. This one has gotten more attention than average, scoring higher than 53% of its peers.
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We're also able to compare this research output to 218 others from the same source and published within six weeks on either side of this one. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.