Page 8 - Kansas Journal of Medicine, Volume 10 Issue 4
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KANSAS JOURNAL of  MEDI CIN E                             APPENDIX A
     RURAL KS FAMILY PHYSICIAN SATISFACTION                    Questionnaire: Study on Relationships between Physicians and
     continued.                                                Spanish-Speaking Patients
                                                               The purpose of this questionnaire is to assess physician satisfaction related to
        Given the growing Hispanic population and SSO population in   the care of Spanish-speaking patients in your practice. Your answers will be
                                                               kept anonymous; you will only be identified by study personnel through your
     Kansas, it is imperative that ways to dismantle language barriers be   demographic information and results will be presented only in the aggregate.
     explored and implemented. Possible ways to address the language   The questionnaire should take less than 5 minutes to complete. Please return
                                                               in the provided envelope. Thank you for participating in this questionnaire!
     barrier is through increased utilization of certified interpreters, tools
     to start the conversation with SSO patients (Appendix B), training of   1. How do you identify your gender?
                                                                  a.  Male
     minority physicians, and training in medical Spanish for physicians. 8,9  b.  Female
                                                                  c.  Other - please explain:____________
        We appreciate the resources of the University of Kansas School of   2. What is your age?
                                                                  a.  < 30 years
     Medicine-Salina and the Kansas Academy of Family Physicians, as   b.  30 - 39 years
     well as the thorough questionnaire review by Robert Kraft, M.D. at   c.  40 - 49 years
     Smoky Hill Family Medicine Residency. We thank Kari Nilsen, Ph.D.   d.  50 - 59 years
                                                                  e.  > 60 years
     for her aid with statistical analysis.
                                                               3. What is your race?
     REFERENCES                                                   a.  White
       1  Friedberg MW, Chen PG, Van Busum KR, et al. Factors affecting physi-  b.  Black or African American
       cian professional satisfaction and their implications for patient care, health   c.  Asian/Pacific Islander
                                                                  d.  American Indian
       systems, and health policy. Rand Health Q 2014; 3(4):1. PMID: 28083306.
       2  University of Kansas Institute for Policy & Social Research. Kansas Statis-  e.  Alaskan Native
       tical Abstract 2015. September 2016.  f.   Other - please explain:_________
       population/#county. Accessed March 22, 2017.
       3  Street RL Jr, O’Malley KJ, Cooper LA, Haidet P. Understanding concor-  4. Are you Hispanic, Spanish or Latino origin?
       dance in patient-physician relationships: Personal and ethnic dimensions   a.  Yes
                                                                  b.  No
       of shared identity. Ann Fam Med 2008; 6(3):198-205. PMID: 18474881.
       4  Carrasquillo O, Orav EJ, Brennan TA, Burstin HR. Impact of language bar-
       riers on patient satisfaction in an emergency department. J Gen Intern Med   5. How do you assess your level of Spanish speaking ability?
                                                                  a.  None
       1999; 14(2):82-87. PMID: 10051778.
       5  Seijo R, Gomez H, Freidenbert J. Language as a communication barrier in   b.  Basic: I speak the language imperfectly and only to a limited
       medical care for Hispanic patients. Hisp J Behav Sci 2016; 13(4):363-376.         degree and in limited situations. I have difficulty in or understanding
       6  Baker DW, Hayes R, Fortier JP. Interpreter use and satisfaction with inter-        extended conversations. I am unable to understand or communicate
       personal aspects of care for Spanish-speaking patients. Med Care 1998;         most healthcare concepts.
                                                                  c.  Fair: I speak and understand well enough to have extended
       36(10):1461-1470. PMID: 9794340.
       7  Karliner LS, Pérez-Stable EJ, Gildengorin G. The language divide. The         conversations about current events, work, family or personal life.
       importance of training in the use of interpreters for outpatient practice. J         Native speakers notice many errors in my speech or understanding. I
                                                                        have difficulty communicating about healthcare concepts.
       Gen Intern Med 2004; 19(2):175-183. PMID: 15009797.
       8  Ferguson WJ, Candib LM. Culture, language, and the doctor-patient rela-  d.  Good: I speak well enough to participate in most conversations.
       tionship. Fam Med 2002; 34(5):353-361. PMID: 12038717.           Native speakers notice some errors in my speech or understanding,
       9  Mazor SS, Hampers LC, Chande VT, Krug SE. Teaching Spanish to pedi-        but my errors rarely cause misunderstanding. I have some difficulty
       atric emergency physicians: Effects on patient satisfaction. Arch Pediatr         communicating necessary health concepts.
                                                                  e.  Advanced: I speak very accurately, and I understand other speakers
       Adolesc Med 2002; 156(7):693-695. PMID: 12090837.
       10  County data 2014. Pew Research Center website.        very accurately. Native speakers have no problem understanding me,
       files/2016/09/all-counties_14.xlsx. Accessed September 27, 2016.        but they probably perceive that I am not a native speaker.
       11  University of the West of England, Bristol. Pearson’s correlation coefficient.   f.   Native/functionally native: I converse easily and accurately in all Accessed March         types of situations. Native speakers, including the highly educated,
                                                                        may think that I am a native speaker, too.
       22, 2017.
       12  Baruch Y, Holtom BC. Survey response rate levels and trends in organiza-
       tional research Hum Relat 2008; 61(8):1139-1160.        6. Are you trained as a M.D. or D.O.?
       13  Walden, J. An overlooked cause of physician burnout. Fam Pract Manag   a.  M.D.
       2016; 23(1):6-7. PMID: 26761296.                           b.  D.O.
     Keywords: language barrier, Hispanics, job satisfaction, rural health services  7. How many years have you been in practice outside of residency?
                                                                  a.  < 5 years
                                                                  b.  5 - 10 years
                                                                  c.  10 - 20 years
                                                                  d.  > 20 years

                                                               8. What is your current practice situation?
                                                                  a.  Solo private practice
                                                                  b.  Small group private practice
                                                                  c.  Medium to large group private practice
                                                                  d. Hospital employed
                                                                  e.  FQHC, rural health clinic, other safety-net clinic
                                                                  f.  Other - please explain:___________

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