ArticleJournal of general internal medicine2016
Racial/Ethnic Differences in Primary Care Experiences in Patient-Centered Medical Homes among Veterans with Mental Health and Substance Use Disorders.
Article in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 34 citations in OpenAlex.
- Leveraging Learning Health Systems to Address Racial and Ethnic Disparities in Veteran Patient Experience.Journal of general internal medicine · 2026Article
- Pain Affirming Care in Older Adults with Marginalized Experiences: A New Framework for Care.Clinics in geriatric medicine · 2026Review
- Experiences of physical healthcare services in Māori and non-Māori with mental health and substance use conditions.The Australian and New Zealand journal of psychiatry · 2024Article
- Health Equity in the Veterans Health Administration From Veterans' Perspectives by Race and Sex.JAMA network open · 2024Article
- Perceived discrimination enhances the association between distress and impact related to the murder of George Floyd and unhealthy alcohol use in a survey sample of U.S. Veterans who report drinking.Addictive behaviors reports · 2023Article
- Perceived Contraceptive Counseling Quality Among Veterans Using VA Primary Care: Data from the ECUUN Study.Journal of general internal medicine · 2022Article
- Cohort study of team-based care among marginalized people who use drugs in Ottawa.Canadian family physician Medecin de famille canadien · 2022Article
- Are parents' geographical origin associated with their evaluation of child and adolescent mental health services? Results from a national survey in Norway.European child & adolescent psychiatry · 2021Article
- Veterans' Experiences With Outpatient Care: Comparing The Veterans Affairs System With Community-Based Care.Health affairs (Project Hope) · 2020Article
- Primary care experiences of veterans with opioid use disorder in the Veterans Health Administration.Journal of substance abuse treatment · 2020Article
- Development of a novel metric of timely care access to primary care services.Health services research · 2020Article
- Article
- Association of the Implementation of the Patient-Centered Medical Home with Quality of Life in Patients with Multimorbidity.Journal of general internal medicine · 2020Article
- Patient-Reported Access in the Patient-Centered Medical Home and Avoidable Hospitalizations: an Observational Analysis of the Veterans Health Administration.Journal of general internal medicine · 2019Observational
- Between-Race Differences in Processes Predicting Physician Communication for African American and European American Recipients of Breast Density Notifications.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2019Article
- Obesity and Health Care Experiences among Women and Men Veterans.Women's health issues : official publication of the Jacobs Institute of Women's Health · 2019Article
- Substance Use Disorder-Related Disparities in Patient Experiences of Primary Care.Health equity · 2019Article
- The Role of Primary Care Experiences in Obtaining Treatment for Depression.Journal of general internal medicine · 2018Article
- The role of the psychologist in the veterans administration's patient aligned care team and huddle: A review, practical recommendations, and a call to action.Health psychology research · 2018Article
- Racial, Ethnic, and Gender Equity in Veteran Satisfaction with Health Care in the Veterans Affairs Health Care System.Journal of general internal medicine · 2018Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient-Centered Medical Homes (PCMH) may be effective in managing care for racial/ethnic minorities with mental health and/or substance use disorders (MHSUDs). How such patients experience care in PCMH settings is relatively unknown.
objectiveWe aimed to examine racial/ethnic differences in experiences with primary care in PCMH settings among Veterans with MHSUDs.
designWe used multinomial regression methods to estimate racial/ethnic differences in PCMH experiences reported on a 2013 national survey of Veterans Affairs patients. PARTICPANTS: Veterans with past-year MHSUD diagnoses (n = 65,930; 67 % White, 20 % Black, 11 % Hispanic, 1 % American Indian/Alaska Native[AI/AN], and 1 % Asian/Pacific Island[A/PI]). MAIN MEASURES: Positive and negative experiences from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) PCMH Survey.
resultsVeterans with MHSUDs reported the lowest frequency of positive experiences with access (22 %) and the highest frequency of negative experiences with self-management support (30 %) and comprehensiveness (16 %). Racial/ethnic differences (as compared to Whites) were observed in all seven healthcare domains (p values < 0.05). With access, Blacks and Hispanics reported more negative (Risk Differences [RDs] = 2 .0;3.6) and fewer positive (RDs = -2 .3;-2.3) experiences, while AI/ANs reported more negative experiences (RD = 5.7). In communication, Blacks reported fewer negative experiences (RD = -1.3); AI/ANs reported more negative (RD = 3.6) experiences; and AI/ANs and APIs reported fewer positive (RD = -6.5, -6.7) experiences. With office staff, Hispanics reported fewer positive experiences (RDs = -3.0); AI/ANs and A/PIs reported more negative experiences (RDs = 3.4; 3.7). For comprehensiveness, Blacks reported more positive experiences (RD = 3.6), and Hispanics reported more negative experiences (RD = 2.7). Both Blacks and Hispanics reported more positive (RDs = 2.3; 4.2) and fewer negative (RDs = -1.8; -1.9) provider ratings, and more positive experiences with decision making (RDs = 2.4; 3.0). Blacks reported more positive (RD = 3.9) and fewer negative (RD = -5.1) experiences with self-management support.
conclusionsIn a national sample of Veterans with MHSUDs, potential deficiencies were observed in access, self-management support, and comprehensiveness. Racial/ethnic minorities reported worse experiences than Whites with access, comprehensiveness, communication, and office staff helpfulness/courtesy.
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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.