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Predictors of patient satisfaction: evidence from the 2013 medical expenditure panel survey
Pfannenstiel, Ashton
Pfannenstiel, Ashton
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2017-05
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Electronic dissertation
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Electronic dissertations
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Abstract
This study explores the relationship between patient race/ethnicity and five components
of patient satisfaction using the 2013 Medical Expenditure Panel Survey data (N = 21690). A
binary logistic regression was conducted to examine the relationship, as well as the mediating
effects of education, number of medical visits, insurance coverage, and chronic condition
diagnoses after controlling for gender and age. White patients were more likely than Latinx, and
Asian patients to always be satisfied on all 5 measures. However, black patients were more likely
to be satisfied than all other racial groups on 4 out of 5 measures. Differences in intervening
variables associated with cultural and economic capital (education, number of medical visits, and
insurance coverage, and chronic condition diagnoses) partially explained the relationship
between race/ethnicity and patient satisfaction. The ability of the intervening variables to
partially explain the relationship between race and satisfaction varied by racial group and
satisfaction component. While insurance coverage was the strongest and most consistent
predictor of patient satisfaction, this was usually only true for Latinx patients. The study
indicates a need for providers to have cultural sensitivity and a need for access to health
insurance. Future studies should examine additional factors influencing patient-provider
interactions and racial differences in patient expectations.
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Thesis (M.A.)--Wichita State University, Fairmount College of Liberal Arts and Sciences, Dept. of Sociology
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Wichita State University
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Copyright 2017 by Ashton Pfannenstiel
All Rights Reserved