Minority Health Archive

Do patient assessments of primary care differ by patient ethnicity?

Taira, D A and Safran, D G and Seto, T B and Rogers, W H and Inui, T S and Montgomery, J and Tarlov, A R (2001) Do patient assessments of primary care differ by patient ethnicity? Health services research, 36 (6 Pt 1). pp. 1059-1071. ISSN 0017-9124

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OBJECTIVE: To determine if patient assessments (reports and ratings) of primary care differ by patient ethnicity. DATA SOURCES/STUDY DESIGN: 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. PRINCIPAL FINDINGS: 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. CONCLUSIONS: 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.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Subjects: Health > Health Equity
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Depositing User: Users 141 not found.
Date Deposited: 31 Jul 2011 22:22
Last Modified: 31 Jul 2011 22:22
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2945

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