Table 4

Hierarchical linear regression models showing the association between ethnicity/language and patient experiences in primary healthcare

VariableStep 1Step 2Step 3Step 4
Ethnic/language and sociodemographic variablesIncludes health statusIncludes PHC experiences outside CanadaIncludes patient experiences inside Canada
(n=1181)(n=1165)(n=1152)(n=673)
Coefficientp ValueCoefficientp ValueCoefficientp ValueCoefficientp Value
Ethnicity/language0.00000.0000.0003NS
Chinese—English−0.40*−0.13−0.010.07
Chinese—Chinese−1.37***−1.06***−0.74**−0.40
South Asian—English−0.47*−0.11−0.09−0.25
South Asian—Punjabi−0.56***−0.29−0.090.12
Caucasian—Englishrefrefrefref
Sociodemographic Characteristics
Gender; age; education; yearly household income; marital status; employment status; immigrant status†
Not shown
Health status
Presence of heart disease, arthritis, high blood pressure or hypertension, depression or diabetes; presence of two or more chronic conditions; self-reported health status
Not shown
PHC experiences outside Canada
 Received healthcare outside Canada in the past 12 months0.0000.035
  Norefref
  Yes−0.81−0.54
PHC experiences inside Canada
 Accessibility
  Usual source of careNS
  No0.24
  Yesref
Unmet healthcare need‡NS
 Noref
 Yes−0.04
Usual wait at regular place of care (min)NS
 0–10ref
 10–200.02
 20–300.01
 30–600.15
 More than 60−0.21
Wait for healthcare
Length of wait0.044
  Did not need to waitref
  <1 week0.18
  Weeks−0.15
  Months−0.58*
  Never received−1.09
Utilisation
 Number of visits to doctor in past year for
  Physical health¶0.0168NS
  Mental health ††−0.0011NS
Relationship continuity of care
 Length of time seeing same doctor or going to the same place (years)NS
  <1−0.0161
  1−<3−0.4222
  3–5−0.3478
  6 or moreref
Interpersonal communication
 Unhurried communication¶¶0.06NS
 Explained test results†††−0.08NS
 Interpersonal style, compassionate and respectful‡‡‡0.320.001
Quality and acceptability
 Overall rating of quality of healthcare received in past 12 months§§§
  Excellent/very good ref0.0000
  Good−0.89***
  Fair/poor−2.07***
Acceptability scale (scale score ranged from 1–4; higher score is better)¶¶¶0.260.001
Adjusted R20.060.090.100.30
  • †42.9% of income is missing.

  • ‡11.6% missing.

  • ¶11.1% missing.

  • ††10.8% missing.

  • ¶¶10.5% missing.

  • †††20.0% missing.

  • ‡‡‡13.1% missing.

  • §§§11.6% missing.

  • ¶¶¶27.3% missing sufficient data to form acceptability scale.

  • PHC, primary healthcare.