Satisfaction of Hispanic immigrants treated by Mexican physicians in California clinics: Assembly Bill (AB) 1045
Abstract
Introduction. Improving physician-patient communication for monolingual Hispanic users in California public clinics promotes high levels of satisfaction, adherence to treatment, and repeat use of the service.
Objectives. The objective of this study was to evaluate the perceived satisfaction of Hispanic patients seen by Mexican physicians at nine community health clinics in three California counties. In addition, to make a comparison with the evaluation conducted one year prior to their arrival.
Methods. Cross-sectional study of patients seen at nine public clinics in three California counties. It compares the results obtained in a baseline evaluation during 2021 with those obtained in the evaluation conducted one year later. A 40-item questionnaire was used. Statistical analysis was conducted using measures of central tendency and dispersion, exploratory factor analysis of a polychoric correlation matrix, bivariate analysis, and multilevel analysis for each year of study.
Results. The initial evaluation included 698 patients in 2021 and 459 patients in 2022. The initial measurement showed that monolingual Hispanic users reported feeling more dissatisfied than English-speaking patients. Furthermore, a multilevel analysis in the same year reported that older adults were more dissatisfied than pediatric patients. In 2022, after the 25 bilingual physicians from Mexico arrived, there was no difference between patients.
Conclusions. No linguistic discordance between physicians and Hispanic patients, which was the main reason for dissatisfaction in the initial evaluation, was detected as a problem after the Mexican physicians worked as providers at the clinics for one year.
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Copyright (c) 2026 Miguel Angel Fernández-Ortega, Gustavo A. Olaiz-Fernández , Mario E. Rojas-Russell, Alejandra Chavez-Ciriaco, Mario R. González-Niño, Alondra I. Salmeron-Alcantara, Brandon Salas-Sánchez, Itzayana Sánchez-Méndez
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