The study highlights differences in perceptions of the provision of healthcare by race / ethnicity

Source / Disclosures

Source:

Oppelt TF et al. 1004 – Differences in perceptions of health care provision in COVID-19 among white, black, and Hispanic patients: A study examining health inequalities. Presented at: International Conference of the American Thoracic Society; May 13-18, 2022; San Francisco (hybrid meeting).


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SAN FRANCISCO – A new study highlights differences in perceptions of health care satisfaction among black and Hispanic patients compared to white patients, according to data presented at the International Conference of the American Thoracic Society.

The researchers aimed to analyze the difference in health equity by asking patients who were hospitalized for COVID-19 to express their perceptions of health care delivery. The researchers evaluated responses from an online study by Harris Poll, which included 601 patients in the United States who were hospitalized for COVID-19 from May to June 2021. Of these, 200 were white adults, 200 were black, and 201 were Hispanic adults.

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The responses highlight the unique challenges in accessing health care and other social determinants of health faced by black and Hispanic patients compared to white patients, the researchers said. Some of these challenges include the employment of patients as the main worker who worked during the pandemic; health insurance status; other chronic conditions; a family that cannot place appropriate quarantine in a separate room; and greater distance to the supplier’s office.

Overall, 86% of respondents reported overall satisfaction with the provision of health care.

Thomas F. Oppelt, PharmD

Researchers note that differences in perceptions of health satisfaction are observed among blacks and Hispanic patients.

Compared to white patients, black patients are 2.5 times more likely to mention problems with bed manners; for example, problems with the level of personal attention and / or care received and lack of sympathy and / or compassion on the part of staff (20% vs. 8%; P <.1), according to the findings. Black patients were more than five times more likely than white patients to describe the caregiver as "careless" (11% vs. 2%; P <.5). Compared to white patients, Hispanic patients were 2.5 times more likely to describe their care team as "aggressive" (10% vs. 4%; P (.1), the researchers said.

Similar percentages of white, black, and Hispanic patients reported positive perceptions, such as describing their care team as “friendly” and “attentive,” and generally satisfied with the care provided.

These findings contribute to the “important growing understanding of ethnicity as a variable of one’s own”, Thomas F. Opelt, pharmacist, senior medical director of the United States medical issues at Gilead Sciences, told Healio. “It simply came to our notice then [for these patients with COVID-19 in this survey] their ethnicity will affect everything – not only from reaching the institution or hospital, but also from tracking and understanding their illness and care – so extra care must be taken to understand their point of view throughout the treatment paradigm. . “

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