National Healthcare Disparities Report - LDI Health Economist

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Patient Centeredness Providers Asking Patients To Assist in Making Treatment Decisions The increasing prevalence of chronic diseases has placed more responsibility on patients, since conditions such as diabetes and hypertension require self-management. Patients need to be provided with information that allows them to make educated decisions and feel engaged in their treatment. Treatment plans also need to incorporate their values and preferences. Figure 5.9. Adults with a usual source of care whose health providers sometimes or never asked for the patient’s help to make treatment decisions, by race, ethnicity, income, education, and English proficiency, 2008 Chapter 5 25 20 15 Percent 10 5 0 White Black Asian AI/AN >1 Race Non-Hispanic White Hispanic Poor Low Income Middle Income High Income
Patient Centeredness Also, in the NHQR: n In 2008, patients age 65 and over with Medicare and public insurance were significantly more likely than patients with Medicare and private insurance to have a usual source of care not ask for their help in making treatment decisions. References Anderson EB. Patient-centeredness: a new approach. Nephrol News Issues 2002;16(12): 80-82. Bechel DL, Myers WA, Smith DG. Does patient-centered care pay off Jt Comm J Qual Improv 2000;26(7): 400-9. Beck RS, Daughtridge R, Sloane PD. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract 2002;15(1): 25-38. Berry LL, Seiders K, Wilders SS. Innovations in access to care: a patient-centered approach. Ann Intern Med 2003;139(7): 568-74. DiMatteo MR The role of the physician in the emerging health care environment. West J Med 1998;168(5): 328-33. Hargraves JL, Hays RD, Cleary PD, et al. Psychometric properties of the Consumer Assessment of Health Plans Study (CAHPS) 2.0 adult core survey. Health Serv Res 2003;38(6 Pt 1):1509-27. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press; 2001a. Institute of Medicine. Envisioning the National Health Care Quality Report. Washington, DC: National Academy Press; 2001b. Little P, Everitt H, Williamson I, et al. Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ 2001;323(7318):908-11. Rhoades DR, McFarland KF, Finch WH, et al. Speaking and interruptions during primary care office visits. Fam Med 2001;33(7):528-32. Shin H, Kominski R. Language use in the United States: 2007. American Community Survey Reports. Suitland, MD: U.S. Census Bureau; 2010. Available at: http://www.census.gov/hhes/socdemo/language/data/acs/ACS-12.pdf. Stewart M, Brown JB, Donner A, et al. The impact of patient-centered care on outcomes. J Fam Pract 2000;49(9):796-804. Minority population tops 100 million. Suitland, MD: U.S. Census Bureau; May 17, 2007. Available at: http://www.census.gov/newsroom/releases/archives/population/cb07-70.html. U.S. Department of Health and Human Services, Office for Civil Rights. Guidance to federal financial assistance recipients regarding Title VI prohibition against national origin discrimination affecting limited English proficient persons. 68 Fed. Reg. 47311-02; August 2, 2008. Available at: http://www.hhs.gov/ocr/civilrights/resources/specialtopics/lep/factsheetguidanceforlep.html. Accessed April 24, 2009. U.S. Department of Health and Human Services, Office of Minority Health. Think cultural health: bridging the health care gap through cultural competency continuing education programs. Available at: http://www.thinkculturalhealth.hhs.gov. Accessed August 11, 2011. Chapter 5 National Healthcare Quality Report, 2011 177
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Introduction and Methods With rapid
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