ArticleJournal of general internal medicine2026
Patient Experience Ratings among Veterans Using the Veterans Health Administration: An Analysis by Race-Ethnicity and Sex.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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4 authors.
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Abstract
backgroundAssociations of race-ethnicity and sex with health care experiences are mostly untested. Centering analyses on experiences of racial-ethnic minoritized women could identify areas of improvement to ensure patients have positive experiences, which are associated with positive health outcomes.
objectiveTo identify disparities in health care experiences by concurrently examining race-ethnicity and sex among Veterans Health Administration (VHA) patients.
designCross-sectional analysis of Survey of Healthcare Experiences of Patients-Patient-Centered Medical Home (SHEP-PCMH) survey data from fiscal years 2020 and 2021.
participantsA nationally representative sample of VHA primary care patients. Response rates were 35.5% in 2020 and 33.2% in 2021. MAIN MEASURES: Weighted linear and logistic regression models assessed differences on nine SHEP-PCMH measures: Access, Timeliness of Urgent Care, Care Coordination, Medication Decision Discussions, Communication, Office Staff Respect, Mental and Emotional Health Assessment, Self-Management Support, and Overall Provider Rating. All models included age and race-ethnicity-by-sex interaction terms. Analyses tested differences in outcomes between racial-ethnic minoritized women and White women, men from the same racial-ethnic minoritized group, and White men, and between White women and White men. KEY
resultsThe largest number of disparities were found on the Office Staff Respect measure, with the largest disparity seen for Native Hawaiian or Pacific Islander women who reported less positive experiences (56%) than White women (70%) and White men (74%). Asian, Black, Hispanic, and White women each had Office Staff Respect disparities compared with White men. There were also several disparities across groups of racial-ethnic minoritized women on the Access measure, primarily when compared with White men.
conclusionsThese analyses provide important information that remains undetected when analyses focus separately on one-dimensional characteristics. VHA should improve training in customer service and ensure timely access to care to improve patient experiences for all veterans using VHA care.
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