Are There Racial Disparities in Family-Reported Experiences of Care in Inpatient Pediatrics?
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.
1 Johns Hopkins University School of Medicine, Baltimore, MD, USA.|2 Brigham and Women's Hospital, Boston, MA, USA.
Neeraja
N
Nagarajan
1 Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Sydur
S
Rahman
1 Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Emily F
EF
Boss
D002648:Child; D002675:Child, Preschool; D054521:Cultural Competency; D005260:Female; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007297:Inpatients / Q000706:statistics & numerical data*; D008297:Male; D010290:Parents; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D044469:Racial Groups / Q000706:statistics & numerical data*
cultural competency; family-centered care; patient satisfaction; patient-centered care; racial disparities