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Health literacy and interpersonal interactions as predictors of maternal perception of ambulatory care for low-income, Latino children

机译：健康素养和人际互动是低收入拉丁裔儿童产妇对门诊照料的预测指标

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Objective: This study explores whether maternal HL (MHL) and maternal perception of health care provider (HCP) interpersonal interactions predict maternal perception of quality of pediatric ambulatory care received. Methods: This cross-sectional study included 124 low-income Latina mothers of children 3 months to 4 years. Maternal HL, perception of maternal-HCP interpersonal interactions, and perception of pediatric ambulatory care were measured using well-validated surveys. Results: In adjusted hierarchical regression models, HCP fail to speak clearly (β=-.225, 95% CI -13.998, -1.960, p=.01) and explain results (β=.344, 95% CI 3.480, 13.010, p=.001) predicted perception of quality of developmental guidance received. Explaining results (β=.422, 95% CI 5.700, 14.089, p=<.001), working out treatment together (β=.441, 95% CI 6.657, 13.624, p<.001) and MHL (β=-.301, 95% CI -7.161, -2.263, p<.001) predicted perception of family centeredness of care. Conclusions: Speaking with clarity, explaining results fully and working with the mother to determine a child's plan of care is most predictive of whether she feels her child is receiving high quality pediatric ambulatory care services. Practice implications: Interventions that target mother and provider interaction may improve perception of care.
机译：目的：本研究探讨了孕产妇HL（MHL）和孕产妇对医疗服务提供者的人际交往是否能够预测孕产妇对儿科门诊服务质量的认知。方法：这项横断面研究包括124名3个月至4岁的拉丁裔低收入母亲。孕产妇的HL，对孕产妇与HCP人际关系的感知以及对儿科门诊的感知均使用经过充分验证的调查进行了测量。结果：在调整后的分层回归模型中，HCP无法清晰地说出（β=-。225，95％CI -13.998，-1.960，p = .01）并解释结果（β= .344，95％CI 3.480，13.010， p = .001）预测了收到的发展指导质量的感知。解释结果（β= .422，95％CI 5.700，14.089，p = <。001），共同制定治疗方案（β= .441，95％CI 6.657，13.624，p <.001）和MHL（β=- .301，95％CI -7.161，-2.263，p <.001）预测了以家庭为中心的护理意识。结论：讲清楚，充分解释结果以及与母亲一起确定孩子的照料计划最能预测她是否认为自己的孩子正在接受高质量的儿科门诊服务。实践意义：针对母亲和提供者互动的干预措施可能会改善对护理的认识。

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