Assessing Patient Experiences with Assessing Healthcare in Multi-Cultural Settings

by Leo S. Morales

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This dissertation examines patient experiences with healthcare in multi-cultural settings. The first three chapters present a theoretical conceptualization of patient satisfaction, a general framework for producing culturally appropriate survey instruments, and an assessment of the readability level of the Consumer Assessments of Health Plans Study (CAHPS®) 2.0 surveys. The next three chapters present results from empirical studies examining racial/ethnic differences in reports and ratings of care. The dissertation concludes by noting that language barriers remain salient for minority patients who have gained access to the health care system. Greater efforts need to be directed at improving care for racial/ethnic minorities.

Table of Contents

  • Acknowledgments

  • Abstract of Dissertation

  • Chapter One

    Introduction: Assessing Racial and Ethic Differences in Patient Evaluations of Care

  • Chapter Two

    Cross-Cultural Adaptation of Survey Instruments: The CAHPS®

  • Chapter Three

    Readability of CAHPS® 2.0 Child and Adult Core Surveys

  • Chapter Four

    Are Latinos Less Satisfied with Communication by Health Care Providers? A Study of 48 Medical Groups

  • Chapter Five

    Differences in CAHPS® Ratings and Reports by Race and Ethnicity: An Analysis of the National CAHPS® Benchmarking Data 1.0

  • Chapter Six

    Racial and Ethnic Differences in Parents' Assessments of Pediatric Care in Medicaid Managed Care

  • Chapter Seven

    Evaluating the Equivalence of Health Care Ratings by Whites and Hispanics

  • Chapter Eight

    Confirmatory Factor Analysis of the Consumer Assessment of Health Plans Study (CAHPS®) 1.0 Core Survey

  • Chapter Nine

    Assessing Racial and Ethnic Differences in Patient Evaluations of Care: Summary and Implications for Health Policy and Future Research

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This report is part of the RAND Corporation dissertation series. Pardee RAND dissertations are produced by graduate fellows of the Pardee RAND Graduate School, the world's leading producer of Ph.D.'s in policy analysis. The dissertations are supervised, reviewed, and approved by a Pardee RAND faculty committee overseeing each dissertation.

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