The health care industry is obsessed with consumer satisfaction. But national patient surveys still don't get at an important question: Are hospitals delivering culturally competent care?
After a hospital stay, many patients are surveyed to weigh in on how good their experience was. Survey results can affect how much hospitals get paid. But instances of racial or other discrimination are not covered in the surveys.
But other crucial questions are absent from these ubiquitous surveys, whose results influence how much hospitals get paid by insurers: They do not poll patients on whether they've experienced discrimination during their treatment, a common complaint of diverse patient populations. Digging deep, Nguyen studied whether patients in one Medicaid managed-care plan from ethnic minority groups received the same care as their white peers.access to needed care, access to a personal doctor, timely access to a checkup or routine care, and timely access to specialty care.
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