This project represents a collaborative effort between the UCLA Division of General Internal Medicine and Health Services Research and the Charles R. Drew University Research Center for Minority Institutions to identify mutable factors pertaining to the process of care, satisfaction with care, and outcomes of care received by Black and Hispanic ambulatory patients with diabetes mellitus and ischemic heart disease. Specifically, the aims of the proposed project are: To examine quality of care as defined by evidence-based medical care guidelines for Black and Hispanic patients with diabetes and ischemic heart disease. To compare process, satisfaction and outcomes (clinical outcomes and functional status) between survey respondents answering in Spanish and respondents answering in English. To examine the relationships between ethnic and linguistic concordance between the patient and provider with process, satisfaction and outcomes. Data sources for the proposed project include a patient survey and medical record abstraction.. The methodology pioneered by researchers at UCLA and RAND to assess quality of care using evidence-based process measures will be applied. To maximize the reliability and validity of self- reported data collection, a survey instrument will be constructed from two leading quality of care assessment tools which assess self-reported process, satisfaction, and outcomes, adapted for use in a culturally and linguistically diverse patient population.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Research Program Projects (P01)
Project #
5P01HS010858-03
Application #
6661551
Study Section
Special Emphasis Panel (ZHS1)
Project Start
2002-09-01
Project End
2003-08-31
Budget Start
Budget End
Support Year
3
Fiscal Year
2002
Total Cost
Indirect Cost
Name
University of California Los Angeles
Department
Type
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Calderón, José Luis; Bazargan, Mohsen; Sangasubana, Nisaratana et al. (2010) A comparison of two educational methods on immigrant Latinas breast cancer knowledge and screening behaviors. J Health Care Poor Underserved 21:76-90
Tobias, Carol; Cunningham, William E; Cunningham, Chinazo O et al. (2007) Making the connection: the importance of engagement and retention in HIV medical care. AIDS Patient Care STDS 21 Suppl 1:S3-8
Rumptz, Maureen H; Tobias, Carol; Rajabiun, Serena et al. (2007) Factors associated with engaging socially marginalized HIV-positive persons in primary care. AIDS Patient Care STDS 21 Suppl 1:S30-9
Calderon, Jose L; Baker, Richard S; Fabrega, Horacio et al. (2006) An ethno-medical perspective on research participation: a qualitative pilot study. MedGenMed 8:23
Morales, Leo S; Staiger, Douglas; Horbar, Jeffrey D et al. (2005) Mortality among very low-birthweight infants in hospitals serving minority populations. Am J Public Health 95:2206-12
Wong, Mitchell D; Tagawa, Tomoko; Hsieh, Hsin-Ju et al. (2005) Differences in cause-specific mortality between Latino and white adults. Med Care 43:1058-62
Calderon, Jose L; Shaheen, Magda; Pan, Deyu et al. (2005) Multi-cultural surveillance for ectopic pregnancy: California 1991-2000. Ethn Dis 15:S5-20-4
Rogowski, Jeannette A; Staiger, Douglas O; Horbar, Jeffrey D (2004) Variations in the quality of care for very-low-birthweight infants: implications for policy. Health Aff (Millwood) 23:88-97
Calderon, Jose Luis; Zadshir, Ashraf; Norris, Keith (2004) A survey of kidney disease and risk-factor information on the World Wide Web. MedGenMed 6:3
Calderon, Jose Luis; Zadshir, Ashraf; Norris, Keith (2004) Structure and content of chronic kidney disease information on the World Wide Web: barriers to public understanding of a pandemic. Nephrol News Issues 18:76, 78-9, 81-4

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