"Evaluation of Disparities in Healthcare Experiences Between Racial Ide" by Christopher Ruckman, DNP, MBA, MSN, RN, CEN

Document Type

DNP Project

Department

School of Nursing

Date of Degree

Spring 2018

Degree

Doctor of Nursing Practice (DNP)

Primary Advisor

Qiuping (Pearl) Zhou, PhD, RN; Nicole Herndon, DNP, RN, NNP-BC, NEA-BC

Abstract

Background: Healthcare consumers have their own perspectives and expectations of what should occur during an encounter of care; these unmet expectations create healthcare disparities. However, there is limited data regarding healthcare experiences among racial and aging groups.

Objectives: To compare the physical and emotional responses of healthcare experiences among racial/ethnic and aged cohorts in the United States.

Methods: Applying a descriptive-correlational design, secondary data from the 2014 Behavioral Risk Factor Surveillance System related to healthcare experiences among racial groups (White, Black, Hispanic, and Asian) and aged cohorts (18-39, 40-54, and 55- 69 years) were assessed.

Results: In the sample, there were 78.3% Whites, 7.9% Blacks, 12.4% Hispanics and 1.4% Asians; 42.9% were 55-69, 30.1% were 40-54, and 27% were 18-39 years. Blacks reported the greatest disparity with 8.5% reporting being treated worse than other races, experienced physical (8.5%) or emotional (16.2%) symptoms due to race during their healthcare encounters. For Hispanics, 4.9% reported being treated worse; 6.4% experienced physical and 8.8% experienced emotional symptoms due to race. For Asians, ratings for the three categories were 3.2%, 6.2%, and 9.8% respectively. White respondents reported the least disparity; the ratings for their three categories were 2.0%, 1.4%, and 2.8% respectively (analysis related to race, p<0.001). The age group representing the largest disparity was 40-54 for all categories; while 55-69 ranked highest for best healthcare experiences.

Conclusion: Prevailing disparities among all racial and age groups exist; minorities and middleaged Americans are at greater risk for not receiving optimal healthcare treatment due to industry biases and perception of treatment.

Open Access

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