The Relationship of Provider Cultural Competence and Utilization of Prenatal Care in the Hmong of Minnesota

摘要: The Relationship of Provider Cultural Competence and Utilization Prenatal Care in the Hmong Minnesota by Cynthia J. Larson M.S.P.H., Walden University, 2007 B.A., Metrostate 2005 Dissertation Submitted Partial Fulfillment Requirements for Degree Doctor Philosophy Public Health Epidemiology University February 2012 ABSTRACT Experts suggest that cultural competence healthcare providers is a critical factor impacting services to ethnically diverse patient populations U. S. it may play role improving outcomes reducing health disparities; however, association between remains unclear. This study used cross-sectional quantitative design grounded competency constructs ethnic origins theory explore relationships provider competence, adequacy prenatal care, neonatal women, population whose beliefs affect their use early adequate care. Patient perception self-reported data were collected from 80 patients 19 corresponding providers. No correlation was found total scores, nor they predictive care or multiple regression analyses. However, 3 specific related physicians’ ability communicate demonstrate culturally competent behaviors predicted There moderate but negative subscores significant difference 6 13 survey questions suggesting discordance perceptions regarding communication during encounter. Implications positive social change include new delivery models incorporate increase number women who receive thus potentially birth outcomes. can lead reduced disparities experienced Hmong.Experts Hmong. February, All rights reserved INFORMATION TO ALL USERS quality this reproduction dependent on copy submitted. In unlikely event author did not send complete manuscript there are missing pages, these will be noted. Also, if material had removed, note indicate deletion. reserved. edition work protected against unauthorized copying under Title 17, United States Code. ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, MI 48106 UMI 3494420 Copyright Number: DEDICATION I would like dedicate Doctoral dissertation my family friends steadfast support encouragement.