Understanding why some ethnic minority patients evaluate medical care more negatively than white patients: A cross sectional analysis of a routine patient survey in English general practices

BMJ (Online)

Volumn 339, Issue 7722, 2009, Pages 684-

  Mead, Nicola ^a   Roland, Martin ^b  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

^b UNIVERSITY OF CAMBRIDGE   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; ATTITUDE TO HEALTH; BRITISH ASIAN; CHINESE; COMMUNICATION SKILL; CONSULTATION; CROSS-SECTIONAL STUDY; ETHNIC GROUP; FEMALE; GENERAL PRACTICE; HEALTH CARE PERSONNEL; HEALTH SERVICE; HOSPITAL ADMISSION; HUMAN; MALE; MEDICAL CARE; MINORITY GROUP; PATIENT ATTITUDE; PATIENT CARE; PRIMARY HEALTH CARE; PRIORITY JOURNAL;

ADOLESCENT; ADULT; AFRICAN CONTINENTAL ANCESTRY GROUP; AGED; ASIAN CONTINENTAL ANCESTRY GROUP; CROSS-SECTIONAL STUDIES; ENGLAND; EUROPEAN CONTINENTAL ANCESTRY GROUP; FAMILY PRACTICE; FEMALE; HUMANS; MALE; MIDDLE AGED; PATIENT SATISFACTION; QUALITY OF HEALTH CARE; REGRESSION ANALYSIS; WAITING LISTS; YOUNG ADULT;

EID: 70349238679     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.b3450     Document Type: Article

References (39)

1. Taira D, Safran D, Seto T, Rogers W, Inui T, Montgomery J, et al. Do patient assessments of care differ by patient ethnicity? Health Serv Res 2001;36:1059-1071
2. Campbell J, Ramsay J, Green J. Age, gender, socioeconomic and ethnic differences in patients' assessments of primary health care. Qual Health Care 2001;10:90-95 (Pubitemid 32565253)
3. Weech-Maldonado R, Morales L, Spritzer K, Elliott M, Hays R. Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. Health Serv Res 2001;36:575-594 (Pubitemid 32660573)
4. Weech-Maldonado R, Morales L, Elliott M, Spritzer K, Marshall G, Hays R. Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. Health Serv Res 2003;38:789-808. (Pubitemid 36682487)
5. Haviland M, Morales L, Dial T, Pincus H. Race/ethnicity, socioeconomic status, and satisfaction with health care. Am J Med Quality 2005;20:195-203. (Pubitemid 41288216)
6. Department of Health. GP patient survey 2007: national results. 23 July 2007. http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ GPpatientsurvey2007/DH-075127.
7. Schnittker J, Bhatt M. The role of income and race/ethnicity in experiences with medical care in the United States and United Kingdom. Int J Health Serv 2008;38:671-695
8. Lakhani M. No patient left behind: how can we ensure world class primary care for black and ethnic minority people? 22 May 2008. Gateway reference: 9374. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/DH-084971.
9. General Practice Assessment Questionnaire. www.gpaq.info.
10. Roland M. Linking physician pay to quality of care: a major experiment in the UK. N Engl J Med 2004;351:1448-1454
11. Department of Health. The GP patient survey. www.gp-patient.co.uk.
12. Bower P, Roland M, Campbell J, Mead N. Setting standards based on patients' views on access and continuity: secondary analysis of data from the general practice assessment survey. BMJ 2003;236:258-260 (Pubitemid 36169592)
13. Office for National Statistics. Census 2001: themost comprehensive survey of the UK population. http://www.statistics.gov.uk/census2001/census2001.asp.
14. Office for National Statistics. Results from the General Household Survey (GHS). http://www.statistics.gov.uk/StatBase/Product.asp?vlnk=5756.
15. General Practice Assessment Questionnaire. National GPAQ benchmarks based on data collected during the 2005-6 contract year. http://www.gpaq.info/ benchmarks.htm.
16. Cohen S. MCH 20-107: Primary health care services for children from ethnic minority groups. 8 February 2007. http://www.dh.gov.uk/en/ Researchanddevelopment/A-Z/Motherandchildhealth/DH-4015207.
17. Freeman G, Rai H, Walker J, Howie J, Heaney D, Maxwell M. Non-English speakers consulting with the GP in their own language: a cross-sectional survey. Br J Gen Pract 2002;52:36-38 (Pubitemid 34092315)
18. Cheraghi-Sohi S, Hole A, Mead N, McDonald R, Whalley D, Bower P, et al. What patients want from primary care consultations: a discrete choice experiment to identify patients' priorities. Ann Fam Med 2008;6:107-115
19. Fung C, Elliott M, Hays R, Kahn K, Kanouse D, McGlynn E, et al. Patients' preferences for technical versus interpersonal quality when selecting a primary care physician. Health Serv Res 2005;40:957-977 (Pubitemid 41040656)
20. Chapple A, Campbell S, Rogers A, Roland M. Users' understanding of medical knowledge in general practice. Soc Sci Med 2002;54:1215-1224 (Pubitemid 34204096)
21. Rao M, Clarke A, Hammersley R. Patients' own assessments of quality of primary care compared with objective records based measures of technical quality of care: cross-sectional study. BMJ 2006;333:19-22. (Pubitemid 44406840)
22. Nazroo J, Falaschetti E, Pierce M, Primatesta P. Ethnic inequalities in access to and outcomes of healthcare: analysis of the health survey for England. J Epidemiol Community Health 2009; published online 20 July 2009. Doi:10.1136/jech.2009.089409.
23. Williams B, Coyle J, Healy D. The meaning of patient satisfaction: an explanation of high reported levels. Soc Sci Med 1998;47:1351-1359 (Pubitemid 28444749)
24. Coyle J. Exploring the meaning of 'dissatisfaction' with health care: the importance of 'personal identity threat'. Sociol Health Illness 1999;21:95-124.
25. Linder-Pelz S. Social psychological determinants of patient satisfaction: a test of five hypotheses. Soc Sci Med 1982;16:583-589
26. Mallinson S. Listening to respondents: a qualitative assessment of the Short Form 36 Health Status Questionnaire. Soc Sci Med 2002;54:11-21. (Pubitemid 33049868)
27. Campbell J, Roland M, Richards S, Dickens A, Greco M, Bower P. Users' reports and evaluations of out-of-hours health care and the UK national quality requirements: a cross sectional study. B J Gen Pract 2009;59:18-23.
28. Healthcare Commission. Patient Survey Report 2004 - primary care. 2004. http://www.cqc.org.uk/-db/-documents/04008689.pdf.
29. Mead N, Bower P, Roland M. Factors associated with enablement in general practice: cross-sectional study using routinely collected data. Br J Gen Pract 2008;58:346-352 (Pubitemid 351696136)
30. Rodriguez H, von Glahn T, Grembowski D, Rogers W, Gelb Safran D. Physician effects on racial and ethnic disparities in patients' experiences of primary care. J Gen Int Med 2008;23:1666-1672
31. Senior P, Bhopal R. Ethnicity as a variable in epidemiological research. BMJ 1994;309:327-330
32. McKenzie K, Cowcroft N. Describing race, ethnicity, and culture in medical research. BMJ 1996;312:1054. (Pubitemid 26125130)
33. Bhopal, R. Medicine and public health in a multiethnic world. J Pub Health 2009;31:315-321
34. Office of National Statistics. Ethnic group statistics: a guide for the collection and classification of ethnicity data. 2003. http://www.statistics. gov.uk/about/ethnic-group-statistics/downloads/ethnic-group-statistics.pdf.
35. Bhopal R. Heterogeneity among Indians, Pakistanis and Bangladeshis is key to racial inequities (letter). BMJ 2002;325:903.
36. Mead N, Bower P, Roland M. The General Practice Assessment Questionnaire (GPAQ) - development and psychometric characteristics. BMC Fam Pract 2008;9:13-23.
37. Ritter P, Stewart A, Kaymaz H, Sobel D, Block D, Lorig K. Self-reports of health care utilization compared to provider records. J Clin Epidemiol 2001;54:136-141 (Pubitemid 32112371)
38. Richards S, Coast J, Peters T. Patient-reported use of health service resources compared with information from health providers. Health Soc Care Community 2003;11:510-518 (Pubitemid 38422652)
39. DeVoe J, Wallace L, Fryer G. Measuring patients' perceptions of communication with healthcare providers: do differences in demographic and socioeconomic characteristics matter? Health Expect 2009;12:70-80.