Are There Racial Disparities in Family-Reported Experiences of Care in Inpatient Pediatrics?

Neeraja Nagarajan, Sydur Rahman, Emily Boss

Research output: Contribution to journalArticle

Abstract

Despite increased emphasis on patient satisfaction as a quality measure in health care, little is known about the influence of race in parent-reported experience of care in pediatrics. This study evaluates the association of race with patient satisfaction scores in an inpatient pediatric tertiary care hospital in one year. Risk-adjusted multivariable logistic regression was performed to evaluate the association of minority race with the likelihood to provide a top-box (=5) satisfaction score for 38 individual questions across 8 domains. Of the 904 participants, 269 (29.8%) identified as belonging to a minority race. Parents of minority children reported 30% to 50% lower satisfaction across questions related to well-established themes of interpersonal communication and cultural competency. Overall, minorities also reported lower satisfaction for the domain of nursing care (odds ratio 0.7, P =.016). These findings suggest a need for training and interventions to improve communication and mitigate disparities in how minority patients and their families perceive pediatric care.

Original languageEnglish (US)
Pages (from-to)619-626
Number of pages8
JournalClinical Pediatrics
Volume56
Issue number7
DOIs
StatePublished - Jun 1 2017

Keywords

  • cultural competency
  • family-centered care
  • patient satisfaction
  • patient-centered care
  • racial disparities

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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