Perceived discrimination in primary care: Does Payer mix
matter?

J 2023

Perceived discrimination in primary care: Does Payer mix matter?

WILLIAMS, Jessica H., Gabriel S. TAJEU, Irena ŠTĚPANÍKOVÁ, Lucia D. JUAREZ, April A. AGNE et. al.

Základní údaje

Originální název

Perceived discrimination in primary care: Does Payer mix matter?

Autoři

WILLIAMS, Jessica H., Gabriel S. TAJEU, Irena ŠTĚPANÍKOVÁ (203 Česká republika, domácí), Lucia D. JUAREZ, April A. AGNE, Jeff STONE a Andrea L. CHERRINGTON

Vydání

Journal of the National Medical Association, National Medical Association, 2023, 0027-9684

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 3.300 v roce 2022

Kód RIV

RIV/00216224:14310/23:00133238

Organizační jednotka

Přírodovědecká fakulta

DOI

http://dx.doi.org/10.1016/j.jnma.2022.11.001

UT WoS

001054062900001

Klíčová slova anglicky

Perceived discrimination; Primary care; Race; Insurance

Štítky

rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 26. 1. 2024 08:39, Mgr. Marie Šípková, DiS.

Anotace

V originále

Introduction: Previous literature has explored patient perceptions of discrimination by race and insurance status, but little is known about whether the payer mix of the primary care clinic (i.e., that is majority public insurance vs. majority private insurance clinics) influences patient perceptions of race-or insurance-based discrimination. Methods: Between 2015-2017, we assessed patient satisfaction and perceived race-and insurance-based discrimination using a brief, anonymous post-clinic visit survey. Results: Participants included 3,721 patients from seven primary care clinics-three public clinics and four private clinics. Results from unadjusted logistic regression models suggest higher overall reports of race-and insurance-based discrimination in public clinics compared with private clinics. In mulvariate analyses, increasing age, Black race, lower education and Medicaid insurance were associated with higher odds of reporting race-and insurance-based discrimination in both public and private settings. Conclusion: Reports of race and insurance discrimination are higher in public clinics than private clinics. Sociodemographic variables, such as age, Black race, education level, and type of insurance also influence reports of race and insurance-based discrimination in primary care.

Citovat

WILLIAMS, Jessica H., Gabriel S. TAJEU, Irena ŠTĚPANÍKOVÁ, Lucia D. JUAREZ, April A. AGNE, Jeff STONE a Andrea L. CHERRINGTON. Perceived discrimination in primary care: Does Payer mix matter? Journal of the National Medical Association. National Medical Association, 2023, roč. 115, č. 1, s. 81-89. ISSN 0027-9684. Dostupné z: https://dx.doi.org/10.1016/j.jnma.2022.11.001.

@article{2365820,
   author = {Williams, Jessica H. and Tajeu, Gabriel S. and Štěpaníková, Irena and Juarez, Lucia D. and Agne, April A. and Stone, Jeff and Cherrington, Andrea L.},
   article_number = {1},
   doi = {http://dx.doi.org/10.1016/j.jnma.2022.11.001},
   keywords = {Perceived discrimination; Primary care; Race; Insurance},
   language = {eng},
   issn = {0027-9684},
   journal = {Journal of the National Medical Association},
   title = {Perceived discrimination in primary care: Does Payer mix matter?},
   url = {https://www.sciencedirect.com/science/article/abs/pii/S002796842200178X},
   volume = {115},
   year = {2023}
}

TY  - JOUR
ID  - 2365820
AU  - Williams, Jessica H. - Tajeu, Gabriel S. - Štěpaníková, Irena - Juarez, Lucia D. - Agne, April A. - Stone, Jeff - Cherrington, Andrea L.
PY  - 2023
TI  - Perceived discrimination in primary care: Does Payer mix matter?
JF  - Journal of the National Medical Association
VL  - 115
IS  - 1
SP  - 81-89
EP  - 81-89
PB  - National Medical Association
SN  - 00279684
KW  - Perceived discrimination
KW  - Primary care
KW  - Race
KW  - Insurance
UR  - https://www.sciencedirect.com/science/article/abs/pii/S002796842200178X
N2  - Introduction: Previous literature has explored patient perceptions of discrimination by race and insurance status, but little is known about whether the payer mix of the primary care clinic (i.e., that is majority public insurance vs. majority private insurance clinics) influences patient perceptions of race-or insurance-based discrimination. Methods: Between 2015-2017, we assessed patient satisfaction and perceived race-and insurance-based discrimination using a brief, anonymous post-clinic visit survey. Results: Participants included 3,721 patients from seven primary care clinics-three public clinics and four private clinics. Results from unadjusted logistic regression models suggest higher overall reports of race-and insurance-based discrimination in public clinics compared with private clinics. In mulvariate analyses, increasing age, Black race, lower education and Medicaid insurance were associated with higher odds of reporting race-and insurance-based discrimination in both public and private settings. Conclusion: Reports of race and insurance discrimination are higher in public clinics than private clinics. Sociodemographic variables, such as age, Black race, education level, and type of insurance also influence reports of race and insurance-based discrimination in primary care.
ER  -

WILLIAMS, Jessica H., Gabriel S. TAJEU, Irena ŠTĚPANÍKOVÁ, Lucia D. JUAREZ, April A. AGNE, Jeff STONE a Andrea L. CHERRINGTON. Perceived discrimination in primary care: Does Payer mix matter? \textit{Journal of the National Medical Association}. National Medical Association, 2023, roč.~115, č.~1, s.~81-89. ISSN~0027-9684. Dostupné z: https://dx.doi.org/10.1016/j.jnma.2022.11.001.

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