title: Are rural residents and Hispanics less satisfied with medical care? Evidence from the Permian Basin.
abstract: Few population-based studies of consumers' perceptions of health care quality have included both rural residents and Hispanics. Using data collected through a random-digit telephone survey of households in the Permian Basin region of west Texas, an area with a relatively high percentage of Mexican Americans, we tested for rural/urban and ethnic differences in satisfaction with medical care. The study had several limitations, but the findings suggest that rural residents of this region rate the quality of their medical care overall more negatively than do their urban counterparts. No ethnic differences were found when controlling for demographic, social, economic, and health-status characteristics. Other factors, including part-time employment, a lack of continuous health insurance coverage, and poor health status appear to have a stronger, negative relationship with satisfaction. The collection and reporting of more specific measures of interpersonal and technical quality would further enable policy-makers, managers, and clinicians to better serve their patient populations.
authors.affiliation: Department of Health Services Research and Management, Texas Tech University Health Sciences Center, Lubbock 79430, USA. somtfb@ttuhsc.edu
authors.forename: Tyrone F
authors.initials: TF
authors.lastname: Borders
authors.forename: Ke Tom
authors.initials: KT
authors.lastname: Xu
authors.forename: James E
authors.initials: JE
authors.lastname: Rohrer
authors.forename: Ronald
authors.initials: R
authors.lastname: Warner
mesh_terms: D000328:Adult; D000368:Aged; D003710:Demography; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D017060:Patient Satisfaction / Q000208:ethnology*; D011787:Quality of Health Care; D019035:Rural Health Services / Q000592:standards*; D013781:Texas