Abstract

Past research has demonstrated that continuity of care has positive outcomes for patients. Continuous care has been shown to have positive outcomes for the patient, including increased patient satisfaction, decreased hospitalizations, decreased emergency department visits, and improved receipt of preventive services. Guided by Betancourt’s Integrative Model for the Study of Culture, Psychological Processes, and Health Behaviors, the aim of this research was to examine the role of cultural scripts and mistreatment related negative interpersonal emotions on continuity of care among Latin American (Latino) and Non-Latino White (Anglo) women. Specifically, this study examined the effect of simpatía, a cultural script that is common among Latinos that stresses interpersonal harmony and interaction-related personal characteristics (e.g. being likeable, agreeable, and easy going) on negative emotions associated with healthcare mistreatment, and their combined effects on continuity of care. As hypothesized, mistreatment-related negative emotions negatively impacted continuity of care for both Latino and Anglo women. In addition, consistent with the cultural script, the study found that for Latino women simpatía was negatively associated with reported mistreatment related emotions, which was not the case for Anglo women.

LLU Discipline

Clinical Psychology

Department

Psychology

School

School of Behavioral Health

First Advisor

Betancourt, Hector

Second Advisor

Chavez, David V.

Third Advisor

Flynn, Patricia M.

Fourth Advisor

Vermeersch, David

Degree Name

Doctor of Philosophy (PhD)

Degree Level

Ph.D.

Year Degree Awarded

2014

Date (Title Page)

9-2014

Language

English

Library of Congress/MESH Subject Headings

Continuity of Patient Care; Attitude of Health Personnel; Health Behavior; Professional-Patient Relations; Process Assessment (Health Care)

Subject - Local

Latin American Women; Latino Women; Non-Latino Women; Anglo Women; Simpatia; Cultural Script; Healthcare Mistreatment

Type

Dissertation

Page Count

42

Digital Format

PDF

Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Collection

Loma Linda University Electronic Theses and Dissertations

Collection Website

http://scholarsrepository.llu.edu/etd/

Repository

Loma Linda University. Del E. Webb Memorial Library. University Archives

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