Evaluating the Equivalence of Health Care Ratings by Whites and Hispanics
PURPOSE. This study was designed to assess the equivalence of a health care ratings scale administered to non-Hispanic white and Hispanic survey respondents. Methods. We sent 18,840 questionnaires to a random sample of patients receiving medical care from a physician group association concentrated i...
Gespeichert in:
| Veröffentlicht in: | Medical care 2000-05, Vol.38 (5), p.517-527 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 527 |
|---|---|
| container_issue | 5 |
| container_start_page | 517 |
| container_title | Medical care |
| container_volume | 38 |
| creator | Morales, Leo S. Reise, Steve P. Hays, Ron D. |
| description | PURPOSE. This study was designed to assess the equivalence of a health care ratings scale administered to non-Hispanic white and Hispanic survey respondents. Methods. We sent 18,840 questionnaires to a random sample of patients receiving medical care from a physician group association concentrated in the western United States; 7,093 were returned (59% adjusted response rate). Approximately 90% of survey respondents self-identified as white/Caucasian (n = 5,508) or Hispanic/Latino (n = 713). Interpersonal and technical aspects of medical care were assessed with 9 items, all administered with a 7-point response format: the best, excellent, very good, good, fair, poor, and very poor, with a "not applicable" option. Item response theory procedures were used to test for differential item functioning between white and Hispanic respondents. Results. Hispanics were found to be significantly more dissatisfied with care than whites (effect size=0.27; P |
| doi_str_mv | 10.1097/00005650-200005000-00008 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1815385</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>3767032</jstor_id><sourcerecordid>3767032</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4828-eae8dcde50206e45b1e9d9f0a8cc1ac14ec694b489c08d110cae6b52ade8205c3</originalsourceid><addsrcrecordid>eNp1UdFK5DAUDYuyzs7uH4jkybfqTdo06Ysgw-gIgrAoPoY0vWOjnXZM2hH_3jidHfRhAyGXm3POvZxDCGVwxqCQ5xCPyAUkfFvFm3wW6geZMJHKhBWZOiATAC4SCbI4Ir9CeAZgMhX8JzlioCDqqAm5mW9MM5jetU-0r5HOXwcXO9hapN2SLtA0fU1nxiP9u0UFWr7Tx9r1GKhpK7pwYW1aZ8Nvcrg0TcA_u3dKHq7m97NFcnt3fTO7vE1sprhK0KCqbIUCOOSYiZJhURVLMMpaZizL0OZFVmaqsKAqxsAazEvBTYWKg7DplFyMuuuhXGFlse29afTau5Xx77ozTn__aV2tn7qNZip6o0QUON0J-O51wNDrlQsWm8a02A1By-iOTLmMQDUCre9C8LjcD2GgP3PQ_3LQ-xy2LRWpJ1-X_EIcjY-AbAS8dU2PPrw0wxt6XW_91v_LN9KOR9pz6Du_l01lLiHl6QfKkp1X</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71087327</pqid></control><display><type>article</type><title>Evaluating the Equivalence of Health Care Ratings by Whites and Hispanics</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><source>Jstor Complete Legacy</source><creator>Morales, Leo S. ; Reise, Steve P. ; Hays, Ron D.</creator><creatorcontrib>Morales, Leo S. ; Reise, Steve P. ; Hays, Ron D.</creatorcontrib><description>PURPOSE. This study was designed to assess the equivalence of a health care ratings scale administered to non-Hispanic white and Hispanic survey respondents. Methods. We sent 18,840 questionnaires to a random sample of patients receiving medical care from a physician group association concentrated in the western United States; 7,093 were returned (59% adjusted response rate). Approximately 90% of survey respondents self-identified as white/Caucasian (n = 5,508) or Hispanic/Latino (n = 713). Interpersonal and technical aspects of medical care were assessed with 9 items, all administered with a 7-point response format: the best, excellent, very good, good, fair, poor, and very poor, with a "not applicable" option. Item response theory procedures were used to test for differential item functioning between white and Hispanic respondents. Results. Hispanics were found to be significantly more dissatisfied with care than whites (effect size=0.27; P <0.05). Of the 9 test items, 2 had statistically significant differential item functioning (P <0.05): reassurance and support offered by your doctors and staff and quality of examinations received. However, summative scale scores and test characteristic curves for whites and Hispanics were similar whether or not these items were included in the scale. Conclusions. Despite some differences in item functioning, valid satisfaction-with-care comparisons between whites and Hispanics are possible. Thus, disparities in satisfaction ratings between whites and Hispanics should not be ascribed to measurement bias but should be viewed as arising from actual differences in experiences with care.</description><identifier>ISSN: 0025-7079</identifier><identifier>EISSN: 1537-1948</identifier><identifier>DOI: 10.1097/00005650-200005000-00008</identifier><identifier>PMID: 10800978</identifier><language>eng</language><publisher>United States: J. B. Lippincott Williams and Wilkins Inc</publisher><subject>Adult ; Aged ; Delivery of Health Care - statistics & numerical data ; Ethnic groups ; European Continental Ancestry Group - psychology ; European Continental Ancestry Group - statistics & numerical data ; Factor analysis ; Female ; Health status ; Health surveys ; Hispanic Americans - psychology ; Hispanic Americans - statistics & numerical data ; Hispanics ; Humans ; Item response theory ; Male ; Middle Aged ; Models, Statistical ; Parametric models ; Patient care ; Patient Satisfaction - statistics & numerical data ; Psychometrics ; Random Allocation ; Statistical significance ; Surveys and Questionnaires ; Test bias ; United States</subject><ispartof>Medical care, 2000-05, Vol.38 (5), p.517-527</ispartof><rights>Copyright 2000 Lippincott Williams & Wilkins, Inc.</rights><rights>2000 Lippincott Williams & Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4828-eae8dcde50206e45b1e9d9f0a8cc1ac14ec694b489c08d110cae6b52ade8205c3</citedby><cites>FETCH-LOGICAL-c4828-eae8dcde50206e45b1e9d9f0a8cc1ac14ec694b489c08d110cae6b52ade8205c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3767032$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3767032$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,777,781,800,882,27905,27906,57998,58231</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10800978$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morales, Leo S.</creatorcontrib><creatorcontrib>Reise, Steve P.</creatorcontrib><creatorcontrib>Hays, Ron D.</creatorcontrib><title>Evaluating the Equivalence of Health Care Ratings by Whites and Hispanics</title><title>Medical care</title><addtitle>Med Care</addtitle><description>PURPOSE. This study was designed to assess the equivalence of a health care ratings scale administered to non-Hispanic white and Hispanic survey respondents. Methods. We sent 18,840 questionnaires to a random sample of patients receiving medical care from a physician group association concentrated in the western United States; 7,093 were returned (59% adjusted response rate). Approximately 90% of survey respondents self-identified as white/Caucasian (n = 5,508) or Hispanic/Latino (n = 713). Interpersonal and technical aspects of medical care were assessed with 9 items, all administered with a 7-point response format: the best, excellent, very good, good, fair, poor, and very poor, with a "not applicable" option. Item response theory procedures were used to test for differential item functioning between white and Hispanic respondents. Results. Hispanics were found to be significantly more dissatisfied with care than whites (effect size=0.27; P <0.05). Of the 9 test items, 2 had statistically significant differential item functioning (P <0.05): reassurance and support offered by your doctors and staff and quality of examinations received. However, summative scale scores and test characteristic curves for whites and Hispanics were similar whether or not these items were included in the scale. Conclusions. Despite some differences in item functioning, valid satisfaction-with-care comparisons between whites and Hispanics are possible. Thus, disparities in satisfaction ratings between whites and Hispanics should not be ascribed to measurement bias but should be viewed as arising from actual differences in experiences with care.</description><subject>Adult</subject><subject>Aged</subject><subject>Delivery of Health Care - statistics & numerical data</subject><subject>Ethnic groups</subject><subject>European Continental Ancestry Group - psychology</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Factor analysis</subject><subject>Female</subject><subject>Health status</subject><subject>Health surveys</subject><subject>Hispanic Americans - psychology</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>Hispanics</subject><subject>Humans</subject><subject>Item response theory</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Statistical</subject><subject>Parametric models</subject><subject>Patient care</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Psychometrics</subject><subject>Random Allocation</subject><subject>Statistical significance</subject><subject>Surveys and Questionnaires</subject><subject>Test bias</subject><subject>United States</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UdFK5DAUDYuyzs7uH4jkybfqTdo06Ysgw-gIgrAoPoY0vWOjnXZM2hH_3jidHfRhAyGXm3POvZxDCGVwxqCQ5xCPyAUkfFvFm3wW6geZMJHKhBWZOiATAC4SCbI4Ir9CeAZgMhX8JzlioCDqqAm5mW9MM5jetU-0r5HOXwcXO9hapN2SLtA0fU1nxiP9u0UFWr7Tx9r1GKhpK7pwYW1aZ8Nvcrg0TcA_u3dKHq7m97NFcnt3fTO7vE1sprhK0KCqbIUCOOSYiZJhURVLMMpaZizL0OZFVmaqsKAqxsAazEvBTYWKg7DplFyMuuuhXGFlse29afTau5Xx77ozTn__aV2tn7qNZip6o0QUON0J-O51wNDrlQsWm8a02A1By-iOTLmMQDUCre9C8LjcD2GgP3PQ_3LQ-xy2LRWpJ1-X_EIcjY-AbAS8dU2PPrw0wxt6XW_91v_LN9KOR9pz6Du_l01lLiHl6QfKkp1X</recordid><startdate>200005</startdate><enddate>200005</enddate><creator>Morales, Leo S.</creator><creator>Reise, Steve P.</creator><creator>Hays, Ron D.</creator><general>J. B. Lippincott Williams and Wilkins Inc</general><general>Lippincott Williams & Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200005</creationdate><title>Evaluating the Equivalence of Health Care Ratings by Whites and Hispanics</title><author>Morales, Leo S. ; Reise, Steve P. ; Hays, Ron D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4828-eae8dcde50206e45b1e9d9f0a8cc1ac14ec694b489c08d110cae6b52ade8205c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Delivery of Health Care - statistics & numerical data</topic><topic>Ethnic groups</topic><topic>European Continental Ancestry Group - psychology</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Factor analysis</topic><topic>Female</topic><topic>Health status</topic><topic>Health surveys</topic><topic>Hispanic Americans - psychology</topic><topic>Hispanic Americans - statistics & numerical data</topic><topic>Hispanics</topic><topic>Humans</topic><topic>Item response theory</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Models, Statistical</topic><topic>Parametric models</topic><topic>Patient care</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Psychometrics</topic><topic>Random Allocation</topic><topic>Statistical significance</topic><topic>Surveys and Questionnaires</topic><topic>Test bias</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morales, Leo S.</creatorcontrib><creatorcontrib>Reise, Steve P.</creatorcontrib><creatorcontrib>Hays, Ron D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morales, Leo S.</au><au>Reise, Steve P.</au><au>Hays, Ron D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating the Equivalence of Health Care Ratings by Whites and Hispanics</atitle><jtitle>Medical care</jtitle><addtitle>Med Care</addtitle><date>2000-05</date><risdate>2000</risdate><volume>38</volume><issue>5</issue><spage>517</spage><epage>527</epage><pages>517-527</pages><issn>0025-7079</issn><eissn>1537-1948</eissn><abstract>PURPOSE. This study was designed to assess the equivalence of a health care ratings scale administered to non-Hispanic white and Hispanic survey respondents. Methods. We sent 18,840 questionnaires to a random sample of patients receiving medical care from a physician group association concentrated in the western United States; 7,093 were returned (59% adjusted response rate). Approximately 90% of survey respondents self-identified as white/Caucasian (n = 5,508) or Hispanic/Latino (n = 713). Interpersonal and technical aspects of medical care were assessed with 9 items, all administered with a 7-point response format: the best, excellent, very good, good, fair, poor, and very poor, with a "not applicable" option. Item response theory procedures were used to test for differential item functioning between white and Hispanic respondents. Results. Hispanics were found to be significantly more dissatisfied with care than whites (effect size=0.27; P <0.05). Of the 9 test items, 2 had statistically significant differential item functioning (P <0.05): reassurance and support offered by your doctors and staff and quality of examinations received. However, summative scale scores and test characteristic curves for whites and Hispanics were similar whether or not these items were included in the scale. Conclusions. Despite some differences in item functioning, valid satisfaction-with-care comparisons between whites and Hispanics are possible. Thus, disparities in satisfaction ratings between whites and Hispanics should not be ascribed to measurement bias but should be viewed as arising from actual differences in experiences with care.</abstract><cop>United States</cop><pub>J. B. Lippincott Williams and Wilkins Inc</pub><pmid>10800978</pmid><doi>10.1097/00005650-200005000-00008</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7079 |
| ispartof | Medical care, 2000-05, Vol.38 (5), p.517-527 |
| issn | 0025-7079 1537-1948 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1815385 |
| source | MEDLINE; Journals@Ovid Complete; Jstor Complete Legacy |
| subjects | Adult Aged Delivery of Health Care - statistics & numerical data Ethnic groups European Continental Ancestry Group - psychology European Continental Ancestry Group - statistics & numerical data Factor analysis Female Health status Health surveys Hispanic Americans - psychology Hispanic Americans - statistics & numerical data Hispanics Humans Item response theory Male Middle Aged Models, Statistical Parametric models Patient care Patient Satisfaction - statistics & numerical data Psychometrics Random Allocation Statistical significance Surveys and Questionnaires Test bias United States |
| title | Evaluating the Equivalence of Health Care Ratings by Whites and Hispanics |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T08%3A46%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evaluating%20the%20Equivalence%20of%20Health%20Care%20Ratings%20by%20Whites%20and%20Hispanics&rft.jtitle=Medical%20care&rft.au=Morales,%20Leo%20S.&rft.date=2000-05&rft.volume=38&rft.issue=5&rft.spage=517&rft.epage=527&rft.pages=517-527&rft.issn=0025-7079&rft.eissn=1537-1948&rft_id=info:doi/10.1097/00005650-200005000-00008&rft_dat=%3Cjstor_pubme%3E3767032%3C/jstor_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71087327&rft_id=info:pmid/10800978&rft_jstor_id=3767032&rfr_iscdi=true |