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Relationship between Satisfaction Scores and Racial/Ethnic and Sex Concordance in Primary Care

Racial/ethnic and sex concordance between patients and providers has been suggested as an important consideration in improving satisfaction and increasing health equity. We aimed to guide local efforts by understanding the relationship between satisfaction with care and patient–provider racial/ethni...

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Autores principales: Walker, Rebekah J., Dawson, Aprill Z., Thorgerson, Abigail, Campbell, Jennifer A., Engel, Sara, Kastner, Mandy, Egede, Leonard E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10454330/
https://www.ncbi.nlm.nih.gov/pubmed/37628474
http://dx.doi.org/10.3390/healthcare11162276
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author Walker, Rebekah J.
Dawson, Aprill Z.
Thorgerson, Abigail
Campbell, Jennifer A.
Engel, Sara
Kastner, Mandy
Egede, Leonard E.
author_facet Walker, Rebekah J.
Dawson, Aprill Z.
Thorgerson, Abigail
Campbell, Jennifer A.
Engel, Sara
Kastner, Mandy
Egede, Leonard E.
author_sort Walker, Rebekah J.
collection PubMed
description Racial/ethnic and sex concordance between patients and providers has been suggested as an important consideration in improving satisfaction and increasing health equity. We aimed to guide local efforts by understanding the relationship between satisfaction with care and patient–provider racial/ethnic and sex concordance within our academic medical center’s primary care clinic. Methods: Satisfaction data for encounters from August 2016 to August 2019 were matched to data from the medical record for patient demographics and comorbidities. Data on 33 providers were also obtained, and racial/ethnic and sex concordance between patients and providers was determined for each of the 3672 unique encounters. The primary outcome was top-box scoring on the CGCAHPS overall satisfaction scale (0–8 vs. 9–10). Generalized mixed-effects logistic regression, including provider- and patient-level factors as fixed effects and a random intercept effect for providers, were used to determine whether concordance had an independent relationship with satisfaction. Results: 89.0% of the NHW-concordant pairs and 90.4% of the Minority Race/Ethnicity-concordant pairs indicated satisfaction, while 90.1% of the male-concordant and 85.1% of the female-concordant pairs indicated satisfaction. When fully adjusted, the female-concordant (OR = 0.58, 95% CI 0.35–0.94) and male-discordant (OR = 0.68, 95% CI 0.51–0.91) pairs reported significantly lower top-box satisfaction compared to the male-concordant pairs. Significant differences did not exist in racial/ethnic concordance. Conclusions: In this sample, differences in sex concordance were noted; however, patient- and provider-level factors may be more influential in driving patient satisfaction than race/ethnicity in this health system.
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spelling pubmed-104543302023-08-26 Relationship between Satisfaction Scores and Racial/Ethnic and Sex Concordance in Primary Care Walker, Rebekah J. Dawson, Aprill Z. Thorgerson, Abigail Campbell, Jennifer A. Engel, Sara Kastner, Mandy Egede, Leonard E. Healthcare (Basel) Article Racial/ethnic and sex concordance between patients and providers has been suggested as an important consideration in improving satisfaction and increasing health equity. We aimed to guide local efforts by understanding the relationship between satisfaction with care and patient–provider racial/ethnic and sex concordance within our academic medical center’s primary care clinic. Methods: Satisfaction data for encounters from August 2016 to August 2019 were matched to data from the medical record for patient demographics and comorbidities. Data on 33 providers were also obtained, and racial/ethnic and sex concordance between patients and providers was determined for each of the 3672 unique encounters. The primary outcome was top-box scoring on the CGCAHPS overall satisfaction scale (0–8 vs. 9–10). Generalized mixed-effects logistic regression, including provider- and patient-level factors as fixed effects and a random intercept effect for providers, were used to determine whether concordance had an independent relationship with satisfaction. Results: 89.0% of the NHW-concordant pairs and 90.4% of the Minority Race/Ethnicity-concordant pairs indicated satisfaction, while 90.1% of the male-concordant and 85.1% of the female-concordant pairs indicated satisfaction. When fully adjusted, the female-concordant (OR = 0.58, 95% CI 0.35–0.94) and male-discordant (OR = 0.68, 95% CI 0.51–0.91) pairs reported significantly lower top-box satisfaction compared to the male-concordant pairs. Significant differences did not exist in racial/ethnic concordance. Conclusions: In this sample, differences in sex concordance were noted; however, patient- and provider-level factors may be more influential in driving patient satisfaction than race/ethnicity in this health system. MDPI 2023-08-12 /pmc/articles/PMC10454330/ /pubmed/37628474 http://dx.doi.org/10.3390/healthcare11162276 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Walker, Rebekah J.
Dawson, Aprill Z.
Thorgerson, Abigail
Campbell, Jennifer A.
Engel, Sara
Kastner, Mandy
Egede, Leonard E.
Relationship between Satisfaction Scores and Racial/Ethnic and Sex Concordance in Primary Care
title Relationship between Satisfaction Scores and Racial/Ethnic and Sex Concordance in Primary Care
title_full Relationship between Satisfaction Scores and Racial/Ethnic and Sex Concordance in Primary Care
title_fullStr Relationship between Satisfaction Scores and Racial/Ethnic and Sex Concordance in Primary Care
title_full_unstemmed Relationship between Satisfaction Scores and Racial/Ethnic and Sex Concordance in Primary Care
title_short Relationship between Satisfaction Scores and Racial/Ethnic and Sex Concordance in Primary Care
title_sort relationship between satisfaction scores and racial/ethnic and sex concordance in primary care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10454330/
https://www.ncbi.nlm.nih.gov/pubmed/37628474
http://dx.doi.org/10.3390/healthcare11162276
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