Racial and ethnic disparities in satisfaction with doctors and health providers in the United States.

作者: Ray M Merrill , Emily W Allen

DOI:

关键词: Patient satisfactionEthnic groupLogistic regressionCross-sectional studyFamily medicineMedicineVariablesHousehold incomeHealth careMarital status

摘要: Objective To assess racial and ethnic disparities in satisfaction with doctors health providers the United States. Design Analyses were based on cross-sectional data from a healthcare module added to 2000 Behavior Risk Factor Surveillance System (BRFSS), completed by 3 US states. Methods Cross-tabulations multiple logistic regression. Five models estimated dependent variables involving last 12 months respect how carefully they listen patient, explain so patient can understand, show for what has say, spend enough time overall performance. Independent considered included race/ethnicity, age, gender, marital status, education, annual household income, regular physician, status. Results Hispanics, compared Whites, significantly more likely be dissatisfied their listen, explain, respect, them. This difference became insignificant after adjustment other independent models, exception of model listening carefully, where Hispanics (OR=1.6, 95% CI=1.0-2.6), Blacks less (OR=0.3, CI=0.1-0.9). Each variables, except gender significant at least one physician status all models. Conclusions With listening, race/ethnicity is not directly associated considered.

参考文章(18)
Robert Weech-Maldonado, Karen Spritzer, Ron D. Hays, Marc N. Elliott, Leo S. Morales, Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. Health Services Research. ,vol. 36, pp. 575- 594 ,(2001)
Clarke Ae, Sutcliffe N, Frost C, Gordon C, Levinton C, Isenberg Da, Associates of health status in patients with systemic lupus erythematosus. The Journal of Rheumatology. ,vol. 26, pp. 2352- 2356 ,(1999)
Robert Weech-Maldonado, Karen Spritzer, Ron D. Hays, Marc N. Elliott, Leo S. Morales, Differences in CAHPS adult survey reports and ratings by race and ethnicity: an analysis of the National CAHPS benchmarking data 1.0. Health Services Research. ,vol. 36, pp. 595- 617 ,(2001)
Benjamin C. Sun, James G. Adams, Helen R. Burstin, Validating a model of patient satisfaction with emergency care Annals of Emergency Medicine. ,vol. 38, pp. 527- 532 ,(2001) , 10.1067/MEM.2001.119250
P. Hjortdahl, E. Laerum, Continuity of care in general practice: effect on patient satisfaction. BMJ. ,vol. 304, pp. 1287- 1290 ,(1992) , 10.1136/BMJ.304.6837.1287
Kevin Fiscella, Peter Franks, Influence of Patient Education on Profiles of Physician Practices Annals of Internal Medicine. ,vol. 131, pp. 745- 751 ,(1999) , 10.7326/0003-4819-131-10-199911160-00005
Judith A. Hall, Michael A. Milburn, Debra L. Roter, Lawren H. Daltroy, WHY ARE SICKER PATIENTS LESS SATISFIED WITH THEIR MEDICAL CARE ? TESTS OF TWO EXPLANATORY MODELS Health Psychology. ,vol. 17, pp. 70- 75 ,(1998) , 10.1037/0278-6133.17.1.70
Russell A. Ward, Age and patterns of HMO satisfaction. Journal of Aging and Health. ,vol. 2, pp. 242- 260 ,(1990) , 10.1177/089826439000200206
Jennifer Malat, Social distance and patients' rating of healthcare providers. Journal of Health and Social Behavior. ,vol. 42, pp. 360- 372 ,(2001) , 10.2307/3090184