Do Health Care Ratings Differ by Race or Ethnicity?

Published in: Joint Commission Journal on Quality and Safety, v. 29, no. 3, Mar. 2003, p. 134-145

Posted on RAND.org on December 31, 2002

by Mark G. Haviland, Leo S. Morales, Steven Reise, Ron D. Hays

Read More

Access further information on this document at www.ingentaconnect.com

This article was published outside of RAND. The full text of the article can be found at the link above.

BACKGROUND: There is growing evidence that Asians and Pacific Islanders perceive their health care more negatively than whites and other racial and ethnic subgroups. This study of differences in health care experiences by race and ethnicity was the first to use rationally representative data. METHOD: Data from the 1998 National Research Corporation Healthcare Market Guide survey were analyzed. A total of 120,855 respondents were included in the study. Four global satisfaction ratings (overall health plan satisfaction, medical care satisfaction, recommend plan to others, and intent to switch plans) and four composite measures (access to care, providers' delivery of care customer service, and cost/benefits of care) were examined. RESULTS: Nonwhite survey respondents-particularly those in the other/multiracial and Asian/Pacific Islander groups-rated their health plan coverage and medical care lower than whites. DISCUSSION: The results of this study are consistent with those of other recent (and comparable) studies in which these racial and ethnic groups are represented. Most strikingly consistent, however, are the lower ratings of Asians/Pacific Islanders and the comparable (and higher) ratings (compared to whites) of African Americans. Why Asians/Pacific Islanders are considerably less satisfied with their medical care than all other racial and ethnic groups in the United States needs to be explored. Access to care and quality of care improvement efforts should be directed at all ethnic minority groups, particularly for limited English-speaking, other/multiracial, Hispanic, and Asian/Pacific Islander subgroups.

This report is part of the RAND Corporation external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.