PMID: 11929372Apr 4, 2002Paper

Effect of managed care on children's relationships with their primary care physicians: differences by race

Archives of Pediatrics & Adolescent Medicine
Gregory D Stevens, Leiyu Shi

Abstract

Racial and ethnic disparities in the quality of the patient-provider relationship have been documented previously, but only among adults. Few studies have examined this aspect of primary care quality for children, and none has examined the role of managed care in mediating disparities. To explore variations in the associations among 3 managed care policies and the sustained patient-provider relationship for children by racial and ethnic group. Telephone survey of parents of a random sample of 413 children attending elementary school in a large school district spanning 3 cities in southern California. Self-reported managed care information was validated through contact with health plan representatives. Parent reporting of the strength of affiliation and interpersonal relationships among the child, the family, and the health care provider. Parents of Hispanic and black children reported significantly lower strength of affiliation than whites did (mean, 3.19 and 3.27 vs 3.57; P<.05 and P<.01, respectively). Asians and Hispanics reported significantly poorer interpersonal relationships with providers than whites did (mean, 3.35 and 3.38 vs 3.53; P<.05 for both). Managed care policies requiring patients to (1) sign up with a particu...Continue Reading

Citations

Jun 16, 2009·Family & Community Health·Lisa M Vaughn
Jul 16, 2005·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Charlene Pope
Jan 18, 2006·Journal for Specialists in Pediatric Nursing : JSPN·Bonnie Gance-Cleveland
Dec 13, 2005·Health Services Research·Michael Seid, Gregory D Stevens
Apr 6, 2006·Health Services Research·Gregory D StevensNeal Halfon
Nov 17, 2011·Social Work in Public Health·David TatawFrederick W James
Apr 4, 2003·Medical Care Research and Review : MCRR·Gregory D Stevens, Leiyu Shi
Feb 9, 2010·Clinical Pediatrics·Christy A KleinsorgeMichael A Rapoff
Jun 13, 2009·Journal of Child and Adolescent Psychopharmacology·Jack StevensWilliam Gardner
Jul 2, 2016·Journal of Clinical Psychology in Medical Settings·Cortney J TaylorAlan M Delamater
Feb 22, 2012·Maternal and Child Health Journal·Lisa Ross DeCampMichele Heisler
Feb 18, 2021·Journal of Pediatric Nursing·Kara S KoschmannMary C Hooke
Mar 31, 2010·Pediatrics·Glenn Flores, UNKNOWN Committee On Pediatric Research

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