Minority-serving hospitals have problems with quality of care and patient satisfactionPrevious studies have shown disparities in the quality of care for blacks, including higher surgical mortality and complication rates. Patients treated in hospitals with high concentrations of black patients reported less satisfaction with their care and experienced several difficulties, reveals a new study. The researchers examined patient discharge data from 568 hospitals in California, Pennsylvania, New Jersey, and Florida. They also surveyed nurses on their work environments, staffing levels, patient/family complaints, and the occurrence of adverse events, such as infections. Hospitals with the largest percentages of black patients were large, urban, teaching hospitals. Nurses working at these institutions were more likely to report that they were not confident patients would be able to manage their care after discharge.
Nurses also reported more frequent complaints and infections at hospitals with the highest percentage of black patients. Nurse staffing was significantly associated with three outcomes: poor confidence in discharge care capabilities, frequent patient/family complaints, and ventilator-associated pneumonia. Overall, the concentration of black patients in a hospital was a significant predictor of poor satisfaction and nurse-assessed outcomes. The study was supported in part by the Agency for Healthcare Research and Quality (HS18534).
See "Quality of care and patient satisfaction in hospitals with high concentrations of black patients," by J. Margo Brooks-Carthon, Ph.D., R.N., Ann Kutney-Lee, Ph.D., R.N., Douglas M. Sloane, Ph.D., and others in the Journal of Nursing Scholarship 43(3), pp. 301-310, 2011.
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