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Med Care. 2010 Apr;48(4):388-93. doi: 10.1097/MLR.0b013e3181ca3ef7.

Racial and ethnic disparities in pediatric experiences of family-centered care.

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1
UCLA Center for Healthier Children, Families and Communities, University of California-Los Angeles, 10990 Wilshire Avenue, Los Angeles, CA 90024, USA. aguerrero@mednet.ucla.edu

Abstract

BACKGROUND:

Previous studies have examined racial and ethnic disparities in the receipt of family-centered care among children with special health care needs and health plan enrollees, but the extent of disparities in the general pediatric population remains unclear.

OBJECTIVE:

To examine racial and ethnic disparities in the receipt of family-centered care among a general population of US children.

METHODS:

Linked data from the Medical Expenditure Panel Survey and the National Health Interview Survey (2003-2006) were used to study 4 family-centered care items and an overall composite measure of family-centered care. Adjusted models examined the extent to which child characteristics, socioeconomic, and access to care factors explained racial and ethnic disparities in the provision of family-centered care.

RESULTS:

Black children have similar experiences as white children on overall family-centered care and on each of the 4 components of family-centered care in models that adjust for child characteristics and socioeconomic factors. In contrast, differences in dimensions of and overall family-centered care between white children and Latino children, irrespective of interview language, persist after multivariate adjustment.

CONCLUSIONS:

Future research should examine the extent to which Latino-white differences in the receipt of family-centered care can be narrowed with programs and policies geared at improving parental education, health literacy, the quality of provider communication, and quality improvement strategies for health care systems.

PMID:
20220533
DOI:
10.1097/MLR.0b013e3181ca3ef7
[Indexed for MEDLINE]
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