Robert Weech?Maldonado|Allyson G. Hall|Thomas Bryant|Kevin Ahmaad Jenkins|Marc N. Elliott
The Relationship Between Perceived Discrimination and Patient Experiences With Health Care
University of Alabama at Birmingham|University of Florida|Duval County Public Schools|University of Florida|RAND Corporation
background prior studies shown racialethnic minorities lower consumer assessments healthcare providers systems cahps scores perceived discrimination may mediate relationship raceethnicity patient experiences care objective examine relationship perceived discrimination based raceethnicity medicaid insurance cahps reports ratings care methods study analyzed 2007 survey data 1509 florida medicaid beneficiaries cahps reports getting needed care timeliness care communication doctor health plan customer service ratings personal doctor specialist care overall health care health plan care primary outcome variables patient perceptions discrimination based raceethnicity medicaid insurance primary independent variables regression analysis modeled effect perceptions discrimination cahps reports ratings controlling age sex education selfrated health status raceethnicity survey language feeforservice enrollment ses corrected correlation within plans results medicaid beneficiaries reporting discrimination based raceethnicity lower cahps scores ranging 15 points lower 0100 scale getting needed care 6 points lower specialist rating compared never experienced discrimination similar results obtained perceived discrimination based medicaid insurance conclusions perceptions discrimination based raceethnicity medicaid insurance prevalent associated substantially lower cahps reports ratings care practices must develop implement strategies reduce perceived discrimination among patients