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National Healthcare Disparities Report, 2005

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Patient Experience of Care: Adults

This year, using methods developed for the CAHPS® (formerly known as Consumer Assessment of Health Plans110) survey, the NHDR presents a composite measure which combines four of the measures used in previous NHDRs into a single core report measure. (For findings related to all core report measures of patient centeredness, go to Tables 2.3a and 2.3b.)

Figure 2.38. Adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, by race, ethnicity, income, and education, 2002

Figure 2.38. Adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, by race, ethnicity, income, and education, 2002

[D] Select for Full Text Description.

Key: AI/AN = American Indian or Alaska Native.

Source: Medical Expenditure Panel Survey, 2002.

Reference population: Civilian noninstitutionalized population age 18 and older.

  • The proportion of adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them was higher among Asians and AI/ANs than Whites and among Hispanics than non-Hispanic Whites (Figure 2.38).
  • The proportion of adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them was higher among poor, near poor, and middle income compared with high income persons and among persons with a high school degree or less compared with those with some college.

Racial and ethnic minorities are disproportionately of lower socioeconomic status. To distinguish the effects of race, ethnicity, income, and education on patient-provider communication, this measure is stratified by income and education level.

Figure 2.39. Adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them by race (top) and ethnicity (bottom) stratified by income, 2002

Figure 2.39. Adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them by race (top) and ethnicity (bottom) stratified by income, 2002

[D] Select for Full Text Description.

Figure 2.39. Adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them by race (top) and ethnicity (bottom) stratified by income, 2002

[D] Select for Full Text Description.

Source: Medical Expenditure Panel Survey, 2002.

Reference population: Civilian noninstitutionalized population age 18 and older.

Note: Sample sizes were too small to provide estimates for poor and near poor Asians.

Figure 2.40. Adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them by race (top) and ethnicity (bottom) stratified by education, 2002

Figure 2.40. Adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them by race (top) and ethnicity (bottom) stratified by education, 2002

[D] Select for Full Text Description.

Figure 2.40. Adults whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them by race (top) and ethnicity (bottom) stratified by education, 2002

[D] Select for Full Text Description.

Source: Medical Expenditure Panel Survey, 2002.

Reference population: Civilian noninstitutionalized population age 18 and older.

Note: Sample sizes were too small to provide estimates for Asians with less than a high school education.

  • Socioeconomic status explains some but not all of the racial and ethnic differences in patient-provider communication.
  • Hispanics of every income and education level, with the exception of the poor, are more likely than respective non-Hispanic Whites to report poor communication (Figures 2.39 and 2.40).
  • Within income and education levels, Asians are often more likely than Whites to report poor patient-provider communication.

 

 

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