This study examined whether type of physician practice settings was associated with cultural competency training for newly hired physicians. We used data from the 2016 National Ambulatory Medical Care Survey Supplement on Culturally and Linguistically Appropriate Services for Office-based Physician Survey. The survey contains a sample of 397 office-based physician responses completed during the period from August to December 2016 (weighted n = 293306). The outcome variable was whether cultural competency training was required for newly hired physicians. The primary predictor variable was type of physician practice settings. We used logistic regression to analyze the association between physician practice settings and cultural competency training for newly hired physicians adjusting for covariates. About 71% physicians belonged to solo or group practice settings. Among these, only 10.4% required cultural competency training for newly hired physicians. Among other practice settings, 34.8% required the training. Results from logistic regression showed that newly hired physicians in solo or group practices (adjusted odds ratio: 0.22; 95% confidence interval: 0.11–0.44) were less likely to have cultural competency training compared to those in other settings. Practice settings are associated with cultural competency training. Cultural competency training across all practice settings may contribute toward improving patient–physician communication, reducing health disparities, and increasing patient satisfaction.

中文翻译：

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练习的类型是否与医师的文化能力训练相关？全国门诊医疗调查的分析

这项研究检查了医师实践环境的类型是否与新聘医师的文化能力培训相关。我们使用了2016年《国家门诊医疗服务调查补充数据》中有关基于办公室的医师调查的文化​​和语言适当服务的数据。该调查包含2016年8月至2016年12月期间完成的397例基于办公室的医生回复样本（加权n = 293306）。结果变量是新聘医生是否需要文化能力培训。主要的预测变量是医师执业设置的类型。我们使用逻辑回归分析了针对协变量进行调整的新聘医师的医师执业环境与文化能力培训之间的关联。大约71％的医生属于单人或小组执业环境。其中，只有10.4％的人需要对新聘医生进行文化能力培训。在其他实践环境中，有34.8％的人需要培训。Logistic回归分析的结果表明，与其他环境中的文化能力培训相比，新聘的医生在单独或小组实践中（调整后的优势比：0.22； 95％的置信区间：0.11-0.44）不太可能接受文化能力培训。练习设置与文化能力培训相关。在所有实践环境中进行文化能力培训可能有助于改善医患沟通，减少健康差异并提高患者满意度。