Less Use of Extreme Response Options by Asians to Standardized Care Scenarios May Explain Some Racial/Ethnic Differences in CAHPS Scores

Medical Care
Lauren A MayerRobin M Weinick

Abstract

Asian Americans (hereafter "Asians") generally report worse experiences with care than non-Latino whites (hereafter "whites"), which may reflect differential use of response scales. Past studies indicate that Asians exhibit lower Extreme Response Tendency (ERT)-they less frequently use responses at extreme ends of the scale than whites. To explore whether lower ERT is observed for Asians than whites in response to standardized vignettes depicting patient experiences of care and whether ERT might in part explain Asians reporting worse care than whites. A representative US sample (n=575 Asian; n=505 white) was presented with 5 written vignettes describing doctor-patient encounters with differing levels of physician responsiveness. Respondents evaluated the encounters using modified CAHPS communication questions. Case-mix-adjusted repeated-measures multivariate models show that Asians provided more positive responses than whites to several vignettes with less-responsive physicians but less positive responses than whites for the vignette with the most physician responsiveness (P<0.01 for each). While all respondents provided more positive ratings for vignettes with greater physician responsiveness, the increase was 15% less for Asi...Continue Reading

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Citations

Aug 9, 2016·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Ron D HaysNeeraj K Arora
Jan 8, 2019·Health Services Research·Denise D QuigleySteven C Martino
Jul 24, 2020·BMC Health Services Research·Lillian LiaoLatha Palaniappan
Dec 19, 2018·Medicine·Sukyung ChungDominick L Frosch
Feb 10, 2021·Journal of General Internal Medicine·James B KirbyRosalie A Torres Stone
Jul 27, 2018·Journal of Pain and Symptom Management·Layla ParastRebecca Anhang Price

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