Perceived discrimination in primary care: Does Payer mix matter?

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14310%2F23%3A00133238" target="_blank" >RIV/00216224:14310/23:00133238 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.sciencedirect.com/science/article/abs/pii/S002796842200178X" target="_blank" >https://www.sciencedirect.com/science/article/abs/pii/S002796842200178X</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jnma.2022.11.001" target="_blank" >10.1016/j.jnma.2022.11.001</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Perceived discrimination in primary care: Does Payer mix matter?

Popis výsledku v původním jazyce

Introduction: Previous literature has explored patient perceptions of discrimination by race and insurance status, but little is known about whether the payer mix of the primary care clinic (i.e., that is majority public insurance vs. majority private insurance clinics) influences patient perceptions of race-or insurance-based discrimination. Methods: Between 2015-2017, we assessed patient satisfaction and perceived race-and insurance-based discrimination using a brief, anonymous post-clinic visit survey. Results: Participants included 3,721 patients from seven primary care clinics-three public clinics and four private clinics. Results from unadjusted logistic regression models suggest higher overall reports of race-and insurance-based discrimination in public clinics compared with private clinics. In mulvariate analyses, increasing age, Black race, lower education and Medicaid insurance were associated with higher odds of reporting race-and insurance-based discrimination in both public and private settings. Conclusion: Reports of race and insurance discrimination are higher in public clinics than private clinics. Sociodemographic variables, such as age, Black race, education level, and type of insurance also influence reports of race and insurance-based discrimination in primary care.

Název v anglickém jazyce

Perceived discrimination in primary care: Does Payer mix matter?

Popis výsledku anglicky

Introduction: Previous literature has explored patient perceptions of discrimination by race and insurance status, but little is known about whether the payer mix of the primary care clinic (i.e., that is majority public insurance vs. majority private insurance clinics) influences patient perceptions of race-or insurance-based discrimination. Methods: Between 2015-2017, we assessed patient satisfaction and perceived race-and insurance-based discrimination using a brief, anonymous post-clinic visit survey. Results: Participants included 3,721 patients from seven primary care clinics-three public clinics and four private clinics. Results from unadjusted logistic regression models suggest higher overall reports of race-and insurance-based discrimination in public clinics compared with private clinics. In mulvariate analyses, increasing age, Black race, lower education and Medicaid insurance were associated with higher odds of reporting race-and insurance-based discrimination in both public and private settings. Conclusion: Reports of race and insurance discrimination are higher in public clinics than private clinics. Sociodemographic variables, such as age, Black race, education level, and type of insurance also influence reports of race and insurance-based discrimination in primary care.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30218 - General and internal medicine

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal of the National Medical Association

ISSN

0027-9684

e-ISSN

1943-4693

Svazek periodika

115

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

9

Strana od-do

81-89

Kód UT WoS článku

001054062900001

EID výsledku v databázi Scopus

2-s2.0-85146985045