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A total of 130 survey respondents were compared to 1,251 patients in the comparison group. The mean patient age for which the parent survey was completed was 5.7 years (6.1 years for the comparison group, P?=?0.18); 59.2% of children were ��5 years old. Relative to the comparison group, survey respondents were more often white (77.7% vs. 58.1%; P https://www.selleckchem.com/products/MG132.html not capture the racial or socioeconomic patient distribution within this pediatric division. These findings challenge the validity of applying patient satisfaction scores, as currently measured, to indicate health care quality. Future efforts to measure and improve patient experience should be inclusive of a culturally diverse population. 2c. Laryngoscope, 124:290�C294, 2014 For over a decade, patient- and family-centered care has been a central https://www.selleckchem.com/products/epacadostat-incb024360.html theme of national efforts to improve the quality of health care and ameliorate health disparities in the United States. The Institute of Medicine's vision of 21st century health care placed patient-centered care and equitable care as two of the six guiding aims in health care improvement and identifies patients and their families as the primary arbiters of quality care.[1, 2] Patient satisfaction is one essential measure of patient-centeredness and quality care. Patient satisfaction can be divided into two broadly defined categories: components and determinants.[3, 4] Satisfaction components relate to provision of care and include interpersonal mannerisms, technical quality, accessibility/convenience, finances, efficacy/outcomes, continuity, physical environment, and availability; whereas determinants relate to the patient's characteristics and expectations.[3, 4] Patient race/ethnicity and socioeconomic status (SES) are patient characteristics https://www.selleck.cn/products/pfi-2.html that can serve as determinants of patient satisfaction, and their role in understanding and addressing patient satisfaction illustrates the intersection between patient-centeredness and cultural competency. As concepts, patient-centeredness and cultural competency incorporate similar principles: Culturally competent care emphasizes diversity, equity, and the improvement of care for minorities and disadvantaged populations, and patient-centeredness more broadly focuses on quality improvement for all patients.[5] Within pediatric surgical fields, the disparities literature focuses primarily on variation in disease prevalence and differences in outcomes across demographic patient groups, with relatively little emphasis on disparities in quality improvement and associated interventions to improve care.
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