Do patient assessments of primary care differ by patient ethnicity?
| Autor: | D A, Taira, D G, Safran, T B, Seto, W H, Rogers, T S, Inui, J, Montgomery, A R, Tarlov |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Physician-Patient Relations Asian Primary Health Care Communication Hispanic or Latino Continuity of Patient Care Middle Aged Health Services Accessibility White People Black or African American Cross-Sectional Studies Massachusetts Socioeconomic Factors Health Care Surveys Surveys and Questionnaires Humans Female Attitude to Health Physical Examination Quality of Health Care Research Article |
| Zdroj: | Health services research. 36(6 Pt 1) |
| ISSN: | 0017-9124 |
| Popis: | To determine if patient assessments (reports and ratings) of primary care differ by patient ethnicity.A self-administered patient survey of 6,092 Massachusetts employees measured seven defining characteristics of primary care: (1) access (financial, organizational); (2) continuity (longitudinal, visit based); (3) comprehensiveness (knowledge of patient, preventive counseling); (4) integration; (5) clinical interaction (communication, thoroughness of physical examinations); (6) interpersonal treatment; and (7) trust. The study employed a cross-sectional observational design.Asians had the lowest primary care performance assessments of any ethnic group after adjustment for socioeconomic and other factors. For example, compared to whites, Asians had lower scores for communication (69 vs. 79, p = .001) and comprehensive knowledge of patient (56 vs. 48, p = .002), African Americans and Latinos had less access to care, and African Americans had less longitudinal continuity than whites.We do not know what accounts for the observed differences in patient assessments of primary care. The fact that patient reports as well as the more subjective ratings of care differed by ethnicity suggests that quality differences might exist that need to be addressed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text