Racial/ethnic differences in reporting versus rating of healthcare experiences (original) (raw)
Related papers
Asian Americans’ reports of their health care experiences
Journal of General Internal Medicine, 2004
OBJECTIVE: To examine how Asian race/ethnicity affects patients' health care experiences and satisfaction with care. DESIGN: Telephone interview using random-digit dialing, stratified to over-sample adults living in areas with disproportionately large numbers of minorities.
The association between Asian patient race/ethnicity and lower satisfaction scores
BMC Health Services Research, 2020
Background Patient satisfaction is increasingly being used to assess, and financially reward, provider performance. Previous studies suggest that race/ethnicity (R/E) may impact satisfaction, yet few practices adjust for patient R/E. The objective of this study is to examine R/E differences in patient satisfaction ratings and how these differences impact provider rankings. Methods Patient satisfaction survey data linked to electronic health records from two large outpatient centers in northern California – a non-profit organization of community-based clinics (Site A) and an academic medical center (Site B) – was collected and analyzed. Participants consisted of adult patients who received outpatient care at Site A from December 2010 to November 2014 and Site B from March 2013 to August 2014, and completed Press-Ganey Medical Practice Survey questionnaires (N = 216,392 (Site A) and 30,690 (Site B)). Self-reported non-Hispanic white (NHW), Black, Latino, and Asian patients were studie...
Differences in Patient-Reported Experiences of Care by Race and Acculturation Status
Journal of Immigrant and Minority Health, 2013
Patient-reported experiences of care are an important focus in health disparities research. This study explored the association of patient-reported experiences of care with race and acculturation status in a primary care setting. 881 adult patients (African-American 34 %; Hispanic-classified as unacculturated or biculturated-31 %; Caucasian 33 %; missing race 2 %)
The Influence of Ethnicity on Patient Satisfaction in a Standardized Patient Assessment
Academic Medicine, 2004
Purpose. To study possible differences in patient satisfaction ratings as a function of physician and patient ethnicity in a standardized patient (SP) performance-based assessment. Method. Data from 334,397 ECFMG ® Clinical Skills Assessment (CSA ®) simulated clinical encounters were analyzed. A between-groups analysis of covariance was conducted, with independent variables consisting of SP and candidate ethnicity. Results. Although a significant interaction between SP and candidate ethnicity was found, averaged over all encounters the SPs were equally satisfied with doctors from all cohorts. In general, SPs provided higher satisfaction ratings for racially concordant pairings. Among the ethnic groups of SPs, Asians were the least satisfied. Conclusions. Satisfaction can vary as a function of the ethnicity of the SP. These results are similar to studies of actual patient encounters that show Asians as less satisfied than patients from other ethnic backgrounds. However, for assessment purposes, provided there is a reasonable mix of SPs, the effect is quite small.
2012
Background: Ethnic minorities and some other patient groups consistently report lower scores on patient surveys, but the reasons for this are unclear. This study examined whether low scores of ethnic minority and other socio-demographic groups reflect their concentration in poorly performing primary care practices, and whether any remaining differences are consistent across practices. Methods: Using data from the 2009 English General Practice Patient Survey (2 163 456 respondents from 8267 general practices) this study examined associations between patient socio-demographic characteristics and 11 measures of patient-reported experience. Findings: South Asian and Chinese patients, younger patients, and those in poor health reported a less positive primary care experience than White patients, older patients and those in better health. For doctor communication, about half of the overall difference associated with South Asian patients (ranging from À6 to À9 percentage points) could be explained by their concentration in practices with low scores, but the other half arose because they reported less positive experiences than White patients in the same practices. Practices varied considerably in the direction and extent of ethnic differences. In some practices ethnic minority patients reported better experience than White patients. Differences associated with gender, Black ethnicity and deprivation were small and inconsistent. Conclusion: Substantial ethnic differences in patient experience exist in a national healthcare system providing universal coverage. Improving the experience of patients in low-scoring practices would not only improve the quality of care provided to their White patients but it would also substantially reduce ethnic group differences in patient experience. There were large variations in the experiences reported by ethnic minority patients in different practices: practices with high patient experience scores from ethnic minority patients could be studied as models for quality improvement.
Provider Satisfaction in Clinical Encounters With Ethnic Immigrant Patients
Mayo Clinic Proceedings, 2003
Objective: To determine whether physicians' satisfaction in clinical encounters with ethnic immigrant patients differs from satisfaction in clinical encounters with white patients in the local community. • Patients and Methods: Postvisit assessments from primary care physicians were collected for matched pairs of ethnic and control patients at the Mayo Clinic in Rochester, Minn, during a 10-week study (April 2-June 9, 2001).