Using Standardized Encounters to Understand Reported Racial/Ethnic Disparities in Patient Experiences with Care
Using Standardized Encounters to Understand Reported Racial/Ethnic Disparities in Patient Experiences with Care
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DOI：
10.1111/j.1475-6773.2010.01214.x
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发表时间：
2011-04-01
影响因子：
3.4
通讯作者：
Schlesinger, Mark
中科院分区：
文献类型：
--
作者：
Weinick, Robin M.;Elliott, Marc N.;Schlesinger, Mark
目的评估种族/民族差异在多大程度上代表了患者对医疗保健体验的真实差异与期望差异，如何使用量表，或者不同群体的成员如何感知相同的医患互动。研究背景从一个具有全国代表性的在线小组(n=567)收集主要数据，包括白人、非裔美国人和拉丁裔受访者。研究设计我们进行了关于护理期望的问题、一系列书面插曲、视频描绘的医患互动、主要发现不同的群体报告了对医生行为的大致相似的期望，并对标准化的遭遇提供了类似的对CAHPS沟通项目的平均反应。结论初步证据表明，与更主观的全球评级不同，报告的更具体和客观的CAHPS成分的差异可能主要反映了体验的差异，而不是期望和量表使用的差异，这增加了我们使用后者评估差异的信心。
ObjectiveTo assess the extent to which racial/ethnic differences in ratings of patient experiences with health care represent true differences versus differences in expectations, how scales are used, or how identical physician-patient interactions are perceived by members of different groups.Study SettingPrimary data collection from a nationally representative online panel (n=567), including white, African American, and Latino respondents.Study DesignWe administered questions on expectations of care, a series of written vignettes, a video-depicted doctor-patient interaction, and modified CAHPS Clinician and Group Doctor Communication items.Principal FindingsDifferent groups reported generally similar expectations regarding physicians' behaviors and provided similar mean responses to CAHPS communication items in response to standardized encounters.ConclusionsPreliminary evidence suggests that unlike more subjective global ratings, reported disparities in more specific and objective CAHPS composites may primarily reflect differences in experiences, rather than differences in expectations and scale use, adding to our confidence in using the latter to assess disparities.