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Racial, Ethnic, and Language Inequities in Ambulatory Pediatrics Patient Family Experience

Margaret N Jones1, Michael Ponti-Zins2, Melinda MacDougall3

  • 1Division of General and Community Pediatrics (MN Jones, M MacDougall, MC Burkhardt, A Corley, K Copeland, and AF Beck), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics (MN Jones, S Ehrlich, S Hanke, J Meinzen-Derr, MC Burkhardt, A Corley, J Hackworth, K Copeland, JA Kahn, and AF Beck), University of Cincinnati College of Medicine, Cincinnati, Ohio.

Academic Pediatrics
|August 31, 2024
PubMed

Insights

Patient race, ethnicity, and language impact pediatric patient family experience (PFE) survey results. Asian, Black, Hispanic, and Spanish-speaking patients reported worse experiences, highlighting care inequities.

Area of Science:

  • Health Services Research
  • Health Equity
  • Pediatric Healthcare Outcomes

Background:

  • Patient family experience (PFE) is a critical metric in healthcare quality.
  • Understanding factors influencing PFE is essential for improving care delivery.
  • Previous research has explored various determinants of patient satisfaction, but specific demographic associations require further investigation.

Purpose of the Study:

  • To investigate the association between patient demographics (race, ethnicity, primary language) and patient-provider racial congruence with PFE survey responses.
  • To identify potential inequities in pediatric ambulatory care experiences based on patient background.
  • To inform targeted interventions for improving PFE across diverse patient populations.

Main Methods:

  • Cross-sectional analysis of 89,175 PFE surveys from a large urban children's hospital system (June 2020-May 2022).
  • Examined associations of patient race, ethnicity, primary language, and patient-provider racial congruence with "top-box" scores on PFE surveys.
  • Adjusted for socioeconomic deprivation, patient/encounter characteristics, and care location.

Main Results:

  • Lower odds of optimal "top-box" PFE scores were observed for Asian, Black, and Hispanic patients compared to White patients.
  • Patients with Spanish as their primary language reported worse experiences than English-primary-language patients.
  • Patient-provider racial congruence was associated with higher odds of positive experiences for two of five survey questions.

Conclusions:

  • Significant, previously unreported inequities in pediatric ambulatory PFE exist.
  • Asian, Black, Hispanic, and Spanish-language patients consistently reported worse healthcare experiences.
  • Addressing these disparities is crucial for achieving equitable pediatric care.
Abstract

Keywords:
health equitypatient experienceracial inequitiesracism

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