Patient Satisfaction, Public Reporting, and Racial/Ethnic Disparities in Nursing Home Care (English)

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A public health seminar recorded on October 31, 2016 featuring Yue Li, Ph.D., Associate Professor, Department of Public Health Sciences, University of Rochester Medical Center.

Providing equitable and patient-centered care is critical to ensuring high quality of care in any healthcare sectors. This presentation focuses on the nursing home sector in which racial/ethnic disparities in quality are widely reported. It is largely unknown whether disparities exist in patient experiences with care and how public reporting of patient experiences affects nursing home performance and potential racial/ethnic disparities. Our study analyzed trend of consumer ratings publicly reported for Maryland nursing homes during 2007-2010, and determined whether racial/ethnic disparities in experiences with care changed during this period. Consumer ratings were reported for overall evaluation of care, recommendation of the facility, staff performance, actual care provided, food & meals, physical environment, and autonomy & personal rights. We found that although ratings on overall and individual domains of care improved over time on average, site-of-care disparities persisted with facilities more predominated by racial/ethnic minority patients having lower scores.

Yue Li
Assistant Professor
Public Health Science
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