Race/ethnicity, socioeconomic status, and satisfaction with health care

Race/ethnicity, socioeconomic status, and satisfaction with health care
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DOI:
10.1177/1062860605275754
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发表时间:
2005-07-01
影响因子:
1.4
通讯作者:
Pincus, HA
Pincus, HA
中科院分区:
医学4区
文献类型:
--
作者:
Haviland, MG;Morales, LS;Pincus, HA

文献摘要

被引文献

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本研究的目的是评估种族/民族和社会经济地位对消费者医疗保健满意度的影响。作者分析了2001年国家研究公司医疗保健市场指南调查(N = 99 102)的国家数据。审查了4个全球评级和3个综合评级。总的来说,所有全球和综合措施的满意度都很高;但是,亚洲/太平洋岛民和西班牙裔的评分低于白人,非洲裔美国人的评分有高有低(相对于白人)。评分最低的是生活在贫困中的美洲印第安人/阿拉斯加土著人。种族/民族的影响是独立的教育和收入。这些调查结果与报告中关于覆盖面和护理方面持续存在种族/族裔差异的情况相一致。提高护理质量的计划必须专门解决这些有据可查的、严重的和持续的差异。
The purpose of the present study was to evaluate the effects of race/ethnicity and socioeconomic status on consumer health care satisfaction ratings. The authors analyzed national data from the 2001 National Research Corporation Healthcare Market Guide Survey (N = 99 102). Four global and 3 composite ratings were examined. In general, satisfaction ratings were high across all global and composite measures; however, Asian/Pacific Islanders and Hispanics gave lower ratings than did whites, and African Americans gave a mix of higher and lower ratings (vs whites). Among the lowest ratings were those given by American Indians/ Alaska Natives living in poverty. Race/ethnicity effects were independent of education and income. These findings are consistent with reports of continuing racial/ethnic disparities in both coverage and care. Programs to improve quality of care must specifically address these well-documented, severe, and persistent disparities.