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Kaiser’s Monthly Update on Health Disparities – Kaiser Family Foundation

Culture and race matters regarding the patient vs. healthcare provider relationship and people’s efficacy and health literacy when it comes to navigating the healthcare system.  The Kaiser Foundation provides ongoing data and articles on healthcare disparities and these important issues for anyone interested in making the current healthcare reform a success.

1. Differences In Patient-Reported Experiences Of Care By Race And Acculturation Status

Using data from the Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey Adult Primary Care instrument, this study found that race and acculturation status were significantly associated with experiences of care, including patient ratings of their provider and perceptions of shared decision making and helpfulness. Consistent with previous research, unacculturated Hispanics had the poorest self-rated health scores, gave significantly higher provider ratings, and had more interest in shared decision making than other groups. The authors conclude that race and acculturation may play a role in physician-patient relationships and overall health care delivery.

(Hasnain M, Schwartz A, Girotti J, et al. Differences in patient-reported experiences of care by race and acculturation status. Journal of Immigrant and Minority Health. 2012 Nov; DOI:  10.1007/s10903-012-9728-x).

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2. Racial Disparity In U.S. Diagnoses Of Acquired Immune Deficiency Syndrome, 2000-2009

Using data from the national HIV surveillance records, this study, analyzed trends in racial/ethnic disparities in rates of AIDS diagnoses in all 50 states and the District of Columbia. The analysis found that between 2000 and 2009, disparities in the rate of AIDS diagnoses decreased between all racial/ethnic groups except those between black and white men aged 13-24, for whom disparities increased. The findings indicate progress in reducing overall racial/ethnic disparities in AIDS diagnoses in the last decade but highlight widening black-white disparities among young men nationwide.

(An Q, Prejean J, Hall I. Racial disparity in U.S. diagnoses of acquired immune deficiency syndrome, 2000-2009. American Journal of Preventive Medicine. 2012 Oct; 43(5):  461-466).

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3. Quality And Equity Of Primary Care With Patient-Centered Medical Homes: Results From A National Survey

This study analyzed the impact of patient-centered medical homes on reducing disparities in the quality of pediatric primary care, using data from the National Survey for Children’s Health. The study found that having a patient-centered medical home (PCMH) was associated with a significant reduction in unmet health needs across racial and ethnic groups. However, it did not alter the disparity between groups for other measures of quality of care. The authors suggest that PCMHs should prioritize obtaining racial and ethnic data on patients and incorporating patient experience data into program evaluations.

(Aysola J, Bitton A, Zaslavsky A, et al. Quality and equity of primary care with patient-centered medical homes:  results from a national survey. Medical Care. 2012 Oct; DOI:  10.1097/MLR.0b013e318270bb0d).

via Kaiser’s Monthly Update on Health Disparities – Kaiser Family Foundation.

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Filed under: access to education, Blogosphere, Culture Think, Health Literacy, Health Policy, Healthcare Reform

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