Race, Ethnicity, and Other Patient and Clinical Encounter Characteristics Associated with Patient Experiences of Access to Care
The Press Ganey (PG) Outpatient Medical Practice Survey measures patients’ experiences of healthcare access in the U.S. We aimed to identify differences in experiences of access to care by patient race, ethnicity, and other sociodemographic characteristics, an important first step in informing healt...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-03-01
|
| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735241241178 |
| _version_ | 1827309533669621760 |
|---|---|
| author | Jeromy W. Gotschall BA Robert Fitzsimmons MS Daniel B. Shin PhD Junko Takeshita MD, PhD, MSCE |
| author_facet | Jeromy W. Gotschall BA Robert Fitzsimmons MS Daniel B. Shin PhD Junko Takeshita MD, PhD, MSCE |
| author_sort | Jeromy W. Gotschall BA |
| collection | DOAJ |
| description | The Press Ganey (PG) Outpatient Medical Practice Survey measures patients’ experiences of healthcare access in the U.S. We aimed to identify differences in experiences of access to care by patient race, ethnicity, and other sociodemographic characteristics, an important first step in informing health policy and ensuring equitable healthcare delivery. We performed a cross-sectional analysis of PG surveys for adult outpatient visits within the University of Pennsylvania Health System from 2014–2017, including 119,373 unique patients. Compared with White patients, Black (odds ratio [OR] 0.84; 95% confidence interval [CI] 0.80–0.87), Asian (OR 0.62; 95% CI 0.58–0.66), and other/unknown race patients (OR 0.83; 95% CI 0.72–0.94) were each less likely to report the maximum score for timely access to care. Patients of all minoritized groups, as well as those whose primary language was not English, reported lower scores in secondary access measures related to communication and respect, compared to White and primarily English-speaking patients, respectively. Efforts to improve the experience of access to care among racial and ethnic minoritized patients are imperative to achieve equity in healthcare delivery. |
| first_indexed | 2024-04-24T19:42:56Z |
| format | Article |
| id | doaj.art-51d1cf4f98ec49d4907efd6a4d1be741 |
| institution | Directory Open Access Journal |
| issn | 2374-3743 |
| language | English |
| last_indexed | 2024-04-24T19:42:56Z |
| publishDate | 2024-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-51d1cf4f98ec49d4907efd6a4d1be7412024-03-25T10:03:54ZengSAGE PublishingJournal of Patient Experience2374-37432024-03-011110.1177/23743735241241178Race, Ethnicity, and Other Patient and Clinical Encounter Characteristics Associated with Patient Experiences of Access to CareJeromy W. Gotschall BA0Robert Fitzsimmons MS1 Daniel B. Shin PhD2Junko Takeshita MD, PhD, MSCE3 Department of Dermatology, , Philadelphia, PA, USA Department of Dermatology, , Philadelphia, PA, USA Department of Dermatology, , Philadelphia, PA, USA Department of Biostatistics, Epidemiology and Informatics, , Philadelphia, PA, USAThe Press Ganey (PG) Outpatient Medical Practice Survey measures patients’ experiences of healthcare access in the U.S. We aimed to identify differences in experiences of access to care by patient race, ethnicity, and other sociodemographic characteristics, an important first step in informing health policy and ensuring equitable healthcare delivery. We performed a cross-sectional analysis of PG surveys for adult outpatient visits within the University of Pennsylvania Health System from 2014–2017, including 119,373 unique patients. Compared with White patients, Black (odds ratio [OR] 0.84; 95% confidence interval [CI] 0.80–0.87), Asian (OR 0.62; 95% CI 0.58–0.66), and other/unknown race patients (OR 0.83; 95% CI 0.72–0.94) were each less likely to report the maximum score for timely access to care. Patients of all minoritized groups, as well as those whose primary language was not English, reported lower scores in secondary access measures related to communication and respect, compared to White and primarily English-speaking patients, respectively. Efforts to improve the experience of access to care among racial and ethnic minoritized patients are imperative to achieve equity in healthcare delivery.https://doi.org/10.1177/23743735241241178 |
| spellingShingle | Jeromy W. Gotschall BA Robert Fitzsimmons MS Daniel B. Shin PhD Junko Takeshita MD, PhD, MSCE Race, Ethnicity, and Other Patient and Clinical Encounter Characteristics Associated with Patient Experiences of Access to Care Journal of Patient Experience |
| title | Race, Ethnicity, and Other Patient and Clinical Encounter Characteristics Associated with Patient Experiences of Access to Care |
| title_full | Race, Ethnicity, and Other Patient and Clinical Encounter Characteristics Associated with Patient Experiences of Access to Care |
| title_fullStr | Race, Ethnicity, and Other Patient and Clinical Encounter Characteristics Associated with Patient Experiences of Access to Care |
| title_full_unstemmed | Race, Ethnicity, and Other Patient and Clinical Encounter Characteristics Associated with Patient Experiences of Access to Care |
| title_short | Race, Ethnicity, and Other Patient and Clinical Encounter Characteristics Associated with Patient Experiences of Access to Care |
| title_sort | race ethnicity and other patient and clinical encounter characteristics associated with patient experiences of access to care |
| url | https://doi.org/10.1177/23743735241241178 |
| work_keys_str_mv | AT jeromywgotschallba raceethnicityandotherpatientandclinicalencountercharacteristicsassociatedwithpatientexperiencesofaccesstocare AT robertfitzsimmonsms raceethnicityandotherpatientandclinicalencountercharacteristicsassociatedwithpatientexperiencesofaccesstocare AT danielbshinphd raceethnicityandotherpatientandclinicalencountercharacteristicsassociatedwithpatientexperiencesofaccesstocare AT junkotakeshitamdphdmsce raceethnicityandotherpatientandclinicalencountercharacteristicsassociatedwithpatientexperiencesofaccesstocare |