Evidence map›Paper›PMID 20146022›Full record

Trial reportJournal of general internal medicine2010

Racial/ethnic discrimination in health care: impact on perceived quality of care.

Dara H Sorkin, Quyen Ngo-Metzger, Israel De Alba

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Dara H SorkinDivision of General Internal Medicine and Primary Care and the Health Policy Research Institute, University of California, Irvine School of Medicine, 100 Theory, Suite 110, Irvine, CA 92697-5800, USA. dsorkin@uci.edu
Quyen Ngo-Metzger
Israel De Alba

Funding

Using Social Ties To Reduce Disparities: The Coached Care For Diabetes ProgramK01DK078939 · NIDDK · UNIVERSITY OF CALIFORNIA-IRVINE · PI SORKIN, DARA H. · 2008 to 2011
$578k
NIDDK NIH HHS K01 DK 078939NIDDK NIH HHS K01 DK078939
6 · The paper itself

Abstract

backgroundRacial/ethnic minorities are more likely to report receipt of lower quality of health care; however, the mediators of such patient reports are not known.

objectivesTo determine (1) whether racial disparities in perceptions of quality of health care are mediated by perceptions of being discriminated against while receiving medical care and (2) whether this association is further mediated by patient sociodemographic characteristics, access to care, and patient satisfaction across racial/ethnic groups. RESEARCH

designA cross-sectional analysis of a population-based sample of California adults responding to the 2003 California Health Interview Survey. Multivariable logistic regression was used to examine the relationship between perceived discrimination and perceived quality of health care after adjusting for patient characteristics and reports of access to care. MAIN

resultsA total of 36,831 respondents were included. African Americans (68.7%) and Asian/Pacific Islanders (64.5%) were less likely than non-Hispanic whites (72.8%) and Hispanics (74.9%) to rate their health care quality highly. African Americans (13.1%) and Hispanics (13.4%) were the most likely to report discrimination, followed by Asian/Pacific Islanders (7.3%) and non-Hispanic whites (2.6%). Racial/ethnic discrimination in health care was negatively associated with ratings of health care quality within each racial/ethnic group, even after adjusting for sociodemographic variables and other indicators of access and satisfaction. Feeling discriminated against fully accounted for the difference in low ratings of quality care between African Americans and whites, but not for other racial/ethnic minorities.

conclusionsPatient perceptions of discrimination may play an important, yet variable role in ratings of health care quality across racial/ethnic minority groups. Health care institutions should consider how to address this patient concern as a part of routine quality improvement.

Indexed as

Physician-Patient RelationsPrejudiceQuality of Health CareAdultCross-Sectional StudiesEthnicityFemaleHealth Care SurveysHealth Services AccessibilityHumansMaleMiddle AgedPatient SatisfactionPerceptionRacial GroupsSocioeconomic Factors

Identifiers

PMID20146022
PMCPMC2855001

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.