Differences in Patient Experiences Among People From Ethnic Minority Backgrounds: A Comparative Analysis of HCAHPS Results
Patients from ethnic minority backgrounds often experience disparities in healthcare quality and outcomes. This study aimed to compare the patient-reported experiences of patients with limited English proficiency (LEP) to general patients in the Australian healthcare setting. The Hospital Consumer A...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-12-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735231218867 |
| _version_ | 1797400629527707648 |
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| author | Corey Adams RN, GradDipPsych, MBA Anthony Schembri BSW(Hons), GDipPubAdmin, MPP Ashfaq Chauhan MHM, MIPH, BPT, PhD Ramesh Walpola BPharm, PhD Reema Harrison BSc, MSc, PhD |
| author_facet | Corey Adams RN, GradDipPsych, MBA Anthony Schembri BSW(Hons), GDipPubAdmin, MPP Ashfaq Chauhan MHM, MIPH, BPT, PhD Ramesh Walpola BPharm, PhD Reema Harrison BSc, MSc, PhD |
| author_sort | Corey Adams RN, GradDipPsych, MBA |
| collection | DOAJ |
| description | Patients from ethnic minority backgrounds often experience disparities in healthcare quality and outcomes. This study aimed to compare the patient-reported experiences of patients with limited English proficiency (LEP) to general patients in the Australian healthcare setting. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was used to evaluate patient experiences from patients in a metropolitan public healthcare network, spanning three hospitals. Level of English proficiency was based on primary language spoken at home. To identify disparities in experience ratings between patients with LEP and the general cohort, independent t -tests were employed. Data was analysed from 2,291 patients, collected over a five-year period (2017–2022), with 490 patients identified as LEP (i.e. speaking a language other than English at home). Statistically significant differences were identified between the cohorts, with LEP patients rating their experiences higher in three areas: doctors listening carefully, doctors explaining in a way they could understand, and quietness at night. Conversely, patients with LEP scored lower in areas regarding nursing respect and responsiveness to call bells. Although patients with LEP had a more positive overall experience, this difference was not statistically significant. The findings indicate potential misalignment between the often poorer health outcomes among people from ethnic minority backgrounds and their experiences in hospital. Additional research is crucial to delve into the unique experiences of ethnic minority patients, including those with LEP, to understand the differences influencing perceptions of care and contributing to disparities in health outcomes. |
| first_indexed | 2024-03-09T01:58:20Z |
| format | Article |
| id | doaj.art-06dc1ec188d044359a187f1be0e1c853 |
| institution | Directory Open Access Journal |
| issn | 2374-3743 |
| language | English |
| last_indexed | 2024-03-09T01:58:20Z |
| publishDate | 2023-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-06dc1ec188d044359a187f1be0e1c8532023-12-08T11:03:20ZengSAGE PublishingJournal of Patient Experience2374-37432023-12-011010.1177/23743735231218867Differences in Patient Experiences Among People From Ethnic Minority Backgrounds: A Comparative Analysis of HCAHPS ResultsCorey Adams RN, GradDipPsych, MBA0Anthony Schembri BSW(Hons), GDipPubAdmin, MPP1Ashfaq Chauhan MHM, MIPH, BPT, PhD2Ramesh Walpola BPharm, PhD3Reema Harrison BSc, MSc, PhD4 , Macquarie University, Sydney, Australia , Sydney, Australia , Macquarie University, Sydney, Australia School of Health Sciences, , Australia , Macquarie University, Sydney, AustraliaPatients from ethnic minority backgrounds often experience disparities in healthcare quality and outcomes. This study aimed to compare the patient-reported experiences of patients with limited English proficiency (LEP) to general patients in the Australian healthcare setting. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was used to evaluate patient experiences from patients in a metropolitan public healthcare network, spanning three hospitals. Level of English proficiency was based on primary language spoken at home. To identify disparities in experience ratings between patients with LEP and the general cohort, independent t -tests were employed. Data was analysed from 2,291 patients, collected over a five-year period (2017–2022), with 490 patients identified as LEP (i.e. speaking a language other than English at home). Statistically significant differences were identified between the cohorts, with LEP patients rating their experiences higher in three areas: doctors listening carefully, doctors explaining in a way they could understand, and quietness at night. Conversely, patients with LEP scored lower in areas regarding nursing respect and responsiveness to call bells. Although patients with LEP had a more positive overall experience, this difference was not statistically significant. The findings indicate potential misalignment between the often poorer health outcomes among people from ethnic minority backgrounds and their experiences in hospital. Additional research is crucial to delve into the unique experiences of ethnic minority patients, including those with LEP, to understand the differences influencing perceptions of care and contributing to disparities in health outcomes.https://doi.org/10.1177/23743735231218867 |
| spellingShingle | Corey Adams RN, GradDipPsych, MBA Anthony Schembri BSW(Hons), GDipPubAdmin, MPP Ashfaq Chauhan MHM, MIPH, BPT, PhD Ramesh Walpola BPharm, PhD Reema Harrison BSc, MSc, PhD Differences in Patient Experiences Among People From Ethnic Minority Backgrounds: A Comparative Analysis of HCAHPS Results Journal of Patient Experience |
| title | Differences in Patient Experiences Among People From Ethnic Minority Backgrounds: A Comparative Analysis of HCAHPS Results |
| title_full | Differences in Patient Experiences Among People From Ethnic Minority Backgrounds: A Comparative Analysis of HCAHPS Results |
| title_fullStr | Differences in Patient Experiences Among People From Ethnic Minority Backgrounds: A Comparative Analysis of HCAHPS Results |
| title_full_unstemmed | Differences in Patient Experiences Among People From Ethnic Minority Backgrounds: A Comparative Analysis of HCAHPS Results |
| title_short | Differences in Patient Experiences Among People From Ethnic Minority Backgrounds: A Comparative Analysis of HCAHPS Results |
| title_sort | differences in patient experiences among people from ethnic minority backgrounds a comparative analysis of hcahps results |
| url | https://doi.org/10.1177/23743735231218867 |
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