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

Clin Pediatr (Phila). 2017 Jun;56(7):619-626. doi: 10.1177/0009922816668497. Epub 2016 Sep 11.

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.

Keywords: cultural competency; family-centered care; patient satisfaction; patient-centered care; racial disparities.

MeSH terms

  • Child
  • Child, Preschool
  • Continental Population Groups / statistics & numerical data*
  • Cultural Competency
  • Female
  • Healthcare Disparities / statistics & numerical data*
  • Humans
  • Infant
  • Inpatients / statistics & numerical data*
  • Male
  • Parents*
  • Patient Satisfaction / statistics & numerical data*