THE EFFECTS OF CULTURAL AND STRUCTURAL FACTORS ON CLIENTS' SATISFACTION WITH MIGRANT HEALTH CARE SERVICES (NEW YORK).
Contributors: Cornell University.
Published: 1987
Number of pages: 183
Subjects: Health Sciences, Nursing.
Description: This study examines the relationship between clients' satisfaction with services at the Niagara County Migrant Health Clinic and two determinants of satisfaction, clients' perceived barriers to use of the facilities and congruency in the cultural health care beliefs of clients and providers. Data came from a 1986 survey of ninety-eight migrant farmworkers living and working in Niagara County, New York, who had used the clinic during the 1986 and/or 1985 harvest season.

The model tested includes independent variables identified as individual structural barriers to use of the clinic, the accumulative structural barriers to use, and congruency in the cultural health care beliefs of clients and providers. Analysis of variances and multiple regression analyses are performed for structural barriers and congruency of health beliefs to gain an understanding of the factors that best explain clients' satisfaction with health care services.

The most important variables for explaining satisfaction with services were the time the service is offered and a perceived long waiting time. Additionally, the analysis indicated that perceiving any three factors as barriers to use as opposed to perceiving no barriers significantly lowered satisfaction with services. Congruency in cultural health care beliefs between the farmworker and the provider did not significantly affect clients' satisfaction with health care services.

The analyses of the determinants of satisfaction with health care services also indicated the emergence of a new variable, the farmworker's perception of being considerately and humanely cared for as an individual with unique concerns and needs.

A number of suggestions for further study and nursing and client education are offered.
Notes: Source: Dissertation Abstracts International, Volume: 48-09, Section: B, page: 2604.

Thesis (PH.D.)--CORNELL UNIVERSITY, 1987.

School code: 0058.