Brief report: lack of a race effect in primary care ratings among women veterans.

Abstract:

OBJECTIVE:To explore the effect of race on primary care quality and satisfaction among women in the Department of Veterans Affairs (VA). METHODS:We used a mail survey to measure primary care quality and satisfaction. We focused on 4 primary care domains: patient preference for provider, interpersonal communication, accumulated knowledge, and coordination. We performed univariate analyses to compare variables by race and multiple logistic regression analysis to examine the effect of race on the probability of reporting a perfect score on each domain, while adjusting for patient characteristics and site. RESULTS:Black women were younger, unmarried, educated, of higher income, and reported female providers and gynecological care in VA more often. In regression analysis, race was not significantly associated with any primary care domain or satisfaction. Gynecological care from VA provider was associated with perfect ratings on patient preference for provider (odds ratio [OR] 2.0, 95% confidence intervals [CI] 1.3, 3.1), and satisfaction (OR 1.6, 95% CI 1.2, 2.3), while female provider was associated with interpersonal communication (OR 1.9, 95% CI 1.4, 2.6). CONCLUSIONS:While demographics and health experiences vary by race among veterans, race had no effect on primary care ratings. Future studies need to determine whether this racial equity persists in health outcomes among women veterans.

journal_name

J Gen Intern Med

authors

Bean-Mayberry B,Chang CC,Scholle SH

doi

10.1111/j.1525-1497.2006.00517.x

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

1105-8

issue

10

eissn

0884-8734

issn

1525-1497

pii

JGI517

journal_volume

21

pub_type

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