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DOI: 10.1177/1062860605285164 Racial and Ethnic Differences in Patient Assessments of Interactions With Providers: Disparities or Measurement Biases?Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850 edayton{at}ahrq.gov
Federal Agency for Healthcare Research and Quality, Center for Quality Improvement and Patient Safety. Patient assessment surveys have established a primary role in health care quality measurement as evidence has shown that information from patients can affect quality improvement for practitioners and lead to positivemarketwide changes. This article presents findings from the recently released National Healthcare Disparities Report revealing that although most clinical quality and access indicators show superior health care for non-Hispanic whites compared with blacks and Hispanics, blacks and Hispanics assess their interactions with providers more positively than non-Hispanic whites do. The article explores possible explanations for these racial/ethnic differences, including potential pitfalls in survey design that drawbiased responses by race/ethnicity. The article then suggests strategies for refining future research on racial/ethnic disparities based on patient assessment of health care.
Key Words: health care quality measurement • patient satisfaction • patient assessment of care • racial/ethnic differences • expectations • response bias • refining methods for interpreting survey data
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