Does Patient-Centered Care Affect Racial Disparities in Health?
This thesis presents a challenge to policy initiatives that presume that patient-centered care will reduce racial disparities in health. Data from the Medical Expenditure Panel Survey were used to test patient assessment of provider behavior defined as patient-centered care according to the National...
Main Author: | |
---|---|
Published: |
Georgia Institute of Technology
2008
|
Subjects: | |
Online Access: | http://hdl.handle.net/1853/22569 |
id |
ndltd-GATECH-oai-smartech.gatech.edu-1853-22569 |
---|---|
record_format |
oai_dc |
spelling |
ndltd-GATECH-oai-smartech.gatech.edu-1853-225692013-01-07T20:25:48ZDoes Patient-Centered Care Affect Racial Disparities in Health?Slade, Catherine PutnamHealth care deliveryRace interaction termsPay-for-performanceHealth policyDiscrimination in medical careAllied health personnel and patientThis thesis presents a challenge to policy initiatives that presume that patient-centered care will reduce racial disparities in health. Data from the Medical Expenditure Panel Survey were used to test patient assessment of provider behavior defined as patient-centered care according to the National Health Disparities Report of the Agency for Healthcare Research and Quality of the Department of Health and Human Services. Results indicated patient-centered care improves self-rated health status, but blacks still report worse health status than whites experiencing comparable patient-centered care. Further, black-white differences in patient-centered care had no affect on health status. Rival theories of black-white differences in health, including social class and health literacy, provided better explanations of disparities than assessment of provider behaviors. These findings suggest that policies designed to financially incentivize patient-centered care practices by providers should be considered with caution. While patient-centered care is better quality care, financial incentives could have a negative effect on minority health if providers are deterred from practices that serve disproportionate numbers of poor and less literate patients and their families. Measurement of the concept of patient-centered care in future health disparities research was also discussed.Georgia Institute of Technology2008-06-10T20:37:42Z2008-06-10T20:37:42Z2008-01-16Dissertationhttp://hdl.handle.net/1853/22569 |
collection |
NDLTD |
sources |
NDLTD |
topic |
Health care delivery Race interaction terms Pay-for-performance Health policy Discrimination in medical care Allied health personnel and patient |
spellingShingle |
Health care delivery Race interaction terms Pay-for-performance Health policy Discrimination in medical care Allied health personnel and patient Slade, Catherine Putnam Does Patient-Centered Care Affect Racial Disparities in Health? |
description |
This thesis presents a challenge to policy initiatives that presume that patient-centered care will reduce racial disparities in health. Data from the Medical Expenditure Panel Survey were used to test patient assessment of provider behavior defined as patient-centered care according to the National Health Disparities Report of the Agency for Healthcare Research and Quality of the Department of Health and Human Services. Results indicated patient-centered care improves self-rated health status, but blacks still report worse health status than whites experiencing comparable patient-centered care. Further, black-white differences in patient-centered care had no affect on health status. Rival theories of black-white differences in health, including social class and health literacy, provided better explanations of disparities than assessment of provider behaviors. These findings suggest that policies designed to financially incentivize patient-centered care practices by providers should be considered with caution. While patient-centered care is better quality care, financial incentives could have a negative effect on minority health if providers are deterred from practices that serve disproportionate numbers of poor and less literate patients and their families. Measurement of the concept of patient-centered care in future health disparities research was also discussed. |
author |
Slade, Catherine Putnam |
author_facet |
Slade, Catherine Putnam |
author_sort |
Slade, Catherine Putnam |
title |
Does Patient-Centered Care Affect Racial Disparities in Health? |
title_short |
Does Patient-Centered Care Affect Racial Disparities in Health? |
title_full |
Does Patient-Centered Care Affect Racial Disparities in Health? |
title_fullStr |
Does Patient-Centered Care Affect Racial Disparities in Health? |
title_full_unstemmed |
Does Patient-Centered Care Affect Racial Disparities in Health? |
title_sort |
does patient-centered care affect racial disparities in health? |
publisher |
Georgia Institute of Technology |
publishDate |
2008 |
url |
http://hdl.handle.net/1853/22569 |
work_keys_str_mv |
AT sladecatherineputnam doespatientcenteredcareaffectracialdisparitiesinhealth |
_version_ |
1716474816778731520 |