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Health Care Provider Perceptions of Pain Treatment in Hispanic Patients
Article first published online: 11 NOV 2010
© 2010 The Authors. Pain Practice © 2010 World Institute of Pain
Volume 11, Issue 3, pages 267–277, May/June 2011
How to Cite
Chiauzzi, E., Black, R. A., Frayjo, K., Reznikova, M., Grimes Serrano, J. M., Zacharoff, K. and Wood, M. (2011), Health Care Provider Perceptions of Pain Treatment in Hispanic Patients. Pain Practice, 11: 267–277. doi: 10.1111/j.1533-2500.2010.00421.x
Disclosures: This work was supported by Small Business Innovation Research (SBIR) Grant No. 5R44DA022779-03 from the National Institute on Drug Abuse. The authors are employees of Inflexxion, which owns PainEDU and receives support through unrestricted educational grants from Endo Pharmaceuticals, Inc., King Pharmaceuticals, Inc., and Actavis Kadian, LLC.
- Issue published online: 5 MAY 2011
- Article first published online: 11 NOV 2010
- Submitted: March 30, 2010; Revision accepted: August 10, 2010
- pain assessment;
- Spanish fluency;
- barriers to treatment
Despite increasing numbers of Hispanic patients in the United States, this group continues to face disparities in access and quality of pain treatment. Although previous surveys have examined treatment disparities experienced by minority patients, none have provided a provider-centric perspective on issues and concerns surrounding pain relief among pain patients of Hispanic/Latino origin. The goal of this study was to assess the relationship between provider characteristics (ie, Spanish fluency, Hispanic caseload size, and experience with Hispanic pain patients) and their perceptions of pain treatment in these patients. One hundred eighty-seven health professionals completed an online survey. The major findings indicated that: (1) less than 20% of health professionals treating Hispanic pain patients reported Spanish proficiency at an advanced level; (2) surveyed health professionals were involved treating a significant proportion of Hispanic patients in their caseloads, but reported a lack of cultural competence training; (3) Spanish fluency and experience with Hispanic pain patients exerts a strong effect on the use of established pain treatment practices; (4) providers with greater Spanish fluency report a significantly greater effect of patients' cultural beliefs and attitudes on treatment; and (5) providers did not regard cultural or language barriers as significantly impacting opioid prescribing or patient compliance.