Ethnicity and Language Differences in Patient Experience: an Analysis of the HCAHPS Survey - PubMed (original) (raw)

Ethnicity and Language Differences in Patient Experience: an Analysis of the HCAHPS Survey

Candice D Donaldson et al. J Racial Ethn Health Disparities. 2022 Jun.

Abstract

Background: Although there has been a rising emphasis on patient-centered care, limited research has assessed differences in patient experience based on ethnicity and language.

Methods: This study examined differences in quality of care (N = 6945) using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Data were collected between January 2014 and April 2019. Bivariate and multivariate analyses assessed relationships between ethnicity/language with individual items capturing specific components of care and global hospital evaluations using regression modeling.

Results: Compared to English-speaking non-Hispanic White patients, Spanish-speaking Hispanic/Latinx patients reported more positive interactions with nurses, physicians, and the hospital environment and reported a better understanding of care after discharge. Findings also indicated that Spanish-speaking Hispanic/Latinx patients were more satisfied with their experience compared to non-Hispanic White patients.

Discussion: Spanish-speaking Hispanic/Latinx patients were more satisfied with specific components of care and also scored higher in a measure of the global patient experience. Findings suggest the need for setting clear expectations for health care encounters and adapting health system responses to better capture factors driving Hispanic/Latinx patient satisfaction.

Keywords: Ethnicity; Health policy; Patient experience; Practice management; Quality improvement.

© 2021. W. Montague Cobb-NMA Health Institute.

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References

    1. O’Connor A, Wennberg JE, Legare F, Llewellyn-Thomas HA, Moulton BW, Sepucha KR, et al. Toward the “tipping point”: decision aids and informed patient choice. Health Aff. 2007;26(3):716–25. https://doi.org/10.1377/hlthaff.26.3.716 . -DOI
    1. Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P, et al. Shared decision making: a model for clinical practice. J Gen Intern Med. 2012;27(10):1361–7. -DOI
    1. Centers for Medicare and Meicaid Services. Hospital consumer assessment of healthcare providers and systems: patients’ perspectives of care survey. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Inst... . Accessed April 15th 2020.
    1. Figueroa JF, Zheng J, Orav EJ, Jha AK. Across US hospitals, black patients report comparable or better experiences than white patients. Health Aff. 2016;35(8):1391–8. -DOI
    1. Figueroa JF, Reimold KE, Zheng J, Orav EJ. Differences in patient experience between Hispanic and Non-Hispanic White patients across U.S. hospitals. J Healthc Qual. 2018;40(5):292–300. -DOI

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