Jump to content

  • Set Your Location
  • Sign in or Enroll
Set Your LocationSet Your Location
  • Sign in or Enroll
    • Open I want to choose my medical group or hospital
    • Clear my location
Change Location
Sutter Health
  • Video Visits
  • Find Doctors
  • Find Locations
  • Treatments & Services
    • Video Visits
    • Find Doctors
    • Find Locations
    • Treatments & Services
    • COVID-19 Resources
    • Pay a Bill
    • Symptom Checker
    • Get Care Today
    • Health & Wellness
    • Classes & Events
    • Research & Clinical Trials
    • For Patients
    • About Sutter Health
    • Giving
    • Volunteering
    • Careers
    • News
    • For Medical Professionals
    • Other Business Services
Close Search
  • Home
  • Research
  • Health Disparities
Content

Racial/ethnic differences in reporting versus rating of healthcare experiences.

Description

Chung S, Mujal G, Liang L, Palaniappan LP, Frosch DL., Medicine (Baltimore). 2018 Dec;97(50):e13604. doi: 10.1097/MD.0000000000013604. , 2018 Dec 01

Abstract

Asians are reported to have poorer healthcare experience than non-Hispanic Whites (NHWs), but the sources of the differences are not understood. One explanation is Asian's reluctance to choose extreme responses in survey.

We thus sought to compare NHW-Asian differences in responses to healthcare experience surveys when asked to report versus rate their experiences.

Patients of an outpatient care system in 2013 to 2014 in the United States were studied. Patient experience surveys were sent after randomly selected clinic visits. Responses from 6 major Asian subgroups and NHWs were included (N?=?61,115). The surveys used a combined questionnaire of Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) and Press Ganey surveys. CG-CAHPS questions are framed as "reporting" and Press Ganey questions as "rating" of experiences.

We compared the proportion of favorable (or top box) responses to 2 related questions, one from CG-CAHPS and another from Press Ganey, and assessed racial/ethnic differences when using each of the 2 related questions, using a Pearson chi-squared test for independence. All Asian subgroups were less likely to select top box than NHWs for all questions. The Asian-NHW differences in 'rating" questions were larger than the difference in related "reporting" questions. Of those who chose top box to CG-CAHPS questions (e.g., "Yes" on a question asking "Waited?<?15 minutes"), their responses to related Press Ganey questions varied widely: 47% to 57% of Asian subgroups versus 67% of NHWs rated wait time as "Very good."

The extent of racial/ethnic differences in patient-reported experiences varies based on how questions are framed. The observed poorer experiences by Asians are in part explained by their worse rating of similar objectively measurable experiences.

Pubmed Abstract

Pubmed AbstractOpens New Window

Associated Topics

  • Health Disparities
  • Health Services
  • Medical Informatics

Related Publications

Incidence of lung cancer among never-smoking asian american, native hawaiian, and pacific islander females


J Natl Cancer Inst.djab143. doi: 10.1093/jnci/djab143. Online ahead of print.
2021 Aug 04

Disparities In outcomes among COVID-19 patients In a large health care system In California.

Azar KMJ, Shen Z, Romanelli RJ, Lockhart SH, Smits K, Robinson S, Brown S, Pressman AR.
Health Aff (Millwood). 101377hlthaff202000598. doi: 10.1377/hlthaff.2020.00598. [Epub ahead of print]
2020 May 21

Heterogeneity of treatment and outcomes among Asians with coronary artery disease in the United States.

Manjunath L, Chung S, Li J, Shah H, Palaniappan L, Yong CM.
J Am Heart Assoc. e014362. doi: 10.1161/JAHA.119.014362. [Epub ahead of print]
2020 May 11

Multiple sclerosis in a multi-ethnic population from Northern California: a retrospective analysis, 2010-2016.

Romanelli RJ, Huang Q, Lacy J, Hashemi L, Wong A, Smith A.
BMC Neurol. 20(1):163. doi: 10.1186/s12883-020-01749-6.
2020 Apr 30

Ursodeoxycholic acid treatment preferentially improves overall survival among African Americans with primary biliary cholangitis.

Gordon SC, Wu KH, Lindor K, Bowlus CL, Rodriguez CV, Anderson H, Boscarino JA, Trudeau S, Rupp LB, Haller IV, Romanelli RJ, VanWormer JJ, Schmidt MA, Daida YG, Sahota A, Vincent J, Zhang T, Li J, Lu M; FOLD Investigators.
Am J Gastroenterol. 2020 Jan 27. doi: 10.14309/ajg.0000000000000512. [Epub ahead of print]
2020 Jan 27
The Sutter Health Network of Care
Expertise to fit your needs
Primary Care

Check-ups, screenings and sick visits for adults and children.

Specialty Care

Expertise and advanced technologies in all areas of medicine.

Emergency Care

For serious accidents, injuries and conditions that require immediate medical care.

Urgent Care

After-hours, weekend and holiday services.

Walk-In Care

Convenient walk-in care clinics for your non-urgent health needs.

  • Contact Us
  • Find Doctors
  • Find Locations
  • Request Medical Records
  • Make a Gift
Sign in to My Health Online

Billing and Insurance

  • Pay a Bill
  • Accepted Health Plans
  • Estimate Costs
  • Medicare Advantage

About Sutter

  • About Our Network
  • Community Benefit
  • Annual Report
  • News

Our Team

  • For Employees
  • For Medical Professionals
  • For Vendors
  • For Volunteers

Careers

  • Jobs at Sutter
  • Physician Jobs
  • Graduate Medical Education

Copyright © 2023 Sutter Health. All rights reserved. Sutter Health is a registered trademark of Sutter Health ®, Reg. U.S. Patent & Trademark office.

  • ADA Accessibility
  • Privacy
  • Do Not Sell My Personal Information
  • LinkedIn Opens new window
  • YouTube Opens new window
  • Facebook Opens new window
  • Twitter Opens new window
  • Instagram Opens new window
  • Glassdoor Opens new window

Cookie Policy

We use cookies to give you the best possible user experience. By continuing to use the site, you agree to the use of cookies. Privacy Policy Cookie Preferences

Privacy Policy Cookie Preferences