Racial and Ethnic Disparities in Satisfaction with VA Care

对 VA 护理满意度的种族和民族差异

• 批准号: 8203686
• 负责人: SUSAN L. ZICKMUND
• 金额: --
• 依托单位: VETERANS HEALTH ADMINISTRATION
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-11-01 至 2014-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8203686
• 关键词: African American; Alaska Native; Ambulatory Care; American Indians; Area; Asians; Caring; Client satisfaction; Clinic; Code; Collaborations; Collection; Comorbidity; Data; Development; Discrimination; Enrollment; Ethnic Origin; Ethnic group; Exclusion; Gender; Hawaiian population; Health; Health Care Surveys; Health Personnel; Health Planning; Health Services Research; Health Status; Health behavior outcomes; Healthcare; Healthcare Systems; Hispanic Americans; Hispanics; Hospitals; Inpatients; Intervention; Interview; Light; Link; Literature; Measures; Mediating; Medical; Medical center; Mental Depression; Mental Health; Methods; Minority; Mission; Modeling; Outcome; Outcome Measure; Outpatients; Pacific Island Americans; Patients; Perception; Performance; Pilot Projects; Provider; Qualitative Research; Quality of Care; Race; Reliance; Reporting; Research; Research Design; Research Methodology; Sampling; Site; Solutions; Statistical Data Interpretation; Surveys; System; Telephone Interviews; Testing; United States Department of Veterans Affairs; Veterans; Work; base; demographics; design; effective intervention; effectiveness measure; ethnic minority population; evidence base; experience; health care quality; health equity; health literacy; improved; information gathering; innovation; meetings; racial and ethnic; racial and ethnic disparities; racial difference; racial/ethnic difference; research and development; response; satisfaction; therapy design; tool

DESCRIPTION (provided by applicant): Project Background: Patient satisfaction is a widely accepted measure of the effectiveness of providers and healthcare systems. It is also a Veterans Administration (VA) mission-critical performance measure. Patient satisfaction is linked to improved health behaviors and outcomes. Unfortunately, patient satisfaction for minority Veterans is lower in the VA than it is for whites. Understanding reasons why minority Veterans report decreased satisfaction with care is necessary in order to ameliorate this disparity. Project Objectives: The Specific Aims of this study are: Specific Aim 1. To examine the associations between patient race/ethnicity and satisfaction with overall, outpatient, inpatient, and 12 domains of VA health care based on a quantitative survey. Specific Aim 2. To identify themes of satisfaction and dissatisfaction with overall, outpatient, inpatient, and 12 domains of VA health care in a diverse sample of African Americans, Hispanics, and whites based on a qualitative interview. Specific Aim 3: To use mixed methods to examine differences in themes of satisfaction and dissatisfaction with overall, outpatient, inpatient, and 12 domains of VA health care among African Americans, Hispanics, and whites. Project Methods: Using a random sample drawn from 25 VA Medical Centers, we will conduct telephone interviews from the VA Pittsburgh Healthcare System using both closed and open- ended questions with 750 African American, Hispanic, and white Veterans as well as a small sample of other minority Veterans (Asian, Pacific Islander/Native Hawaiian, or American Indian/Native Alaskan). This mixed-methods design allows for the examination of the direct, mediated and/or moderated associations of race/ethnicity on satisfaction outcomes. The open- ended questions will provide data for a formal qualitative analysis of both reasons for satisfaction and dissatisfaction with VA health care and ways to improve VA care that are culturally sensitive. Finally, random effects modeling of coded qualitative data will be used to formally estimate and test racial/ethnic differences. Because the random effects modeling uses open-ended, qualitative data this statistical analysis allows our study to go beyond reliance on pre-established satisfaction items, and instead capture very specific reasons for satisfaction and dissatisfaction with VA health care as described by the Veterans themselves.

描述（由申请人提供）：