Understanding of Care and County Race Demographics

Studies have shown disparities regarding effective treatment, care coordination, patient-safety, person-centered care, healthy living and care affordability based upon race and ethnicity (AHRQ, 2015). Research has demonstrated an association between socioeconomic status and health status (Evans et al., 2016). Studies have identified a relationship between a variety of social and environmental factors, oftentimes called "social determinants of health," and health outcomes (Rubin, 2016). Health disparities are significantly related to factors such as education, race, ethnicity and occupation (Adler & Cutler, 2016).

The purpose of this assessment was to determine if there is a difference in the relationship between the percent of the population that reported they would definitely recommend the hospital compared to the percentage of the population for the race categories at the county level.

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Data Sources

Hospital Compare - Patient Surveys - Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) (data released October 19, 2016)

Census Data on Race and Ethnicity (data released June 1, 2016)

Defining the Columns

A blank entry indicates unreported data. A value of zero is a defined value and does not represent unreported data.

State: The abbreviation of the state where the hospital is located

County: The name of the county where the hospital is located. County names are listed as provided on the United States Census Bureau's list of 2010 FIPS Codes for Counties and County Equivalient Entities

Hospital Name: The name of the hospital

Percent Strongly Agree Understood Care: The percentage of patients who reported on the HCAHPS survey that they "Strongly Agree" they understood their care when they left the hospital. This data is from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey about patient experience and satisfaction. The reporting period for this measure is October 1, 2014 through September 30, 2015

Number of Completed Surveys: The number of completed HCAHPS surveys by patients for the specific hospital. The number must be greater than 25 to be reported in data

Percent American Indian/Alaskan Native: The percentage of the population as of July 2015 that reported being American Indian or Alaskan Native

Percent Asian: The percentage of the population as of July 2015 that reported being Asian

Percent Black: The percentage of the population as of July 2015 that reported being Black

Percent Hispanic: The percentage of the population as of July 2015 that reported being Hispanic

Percent Native Hawaiian/Pacific Islander: The percentage of the population as of July 2015 that reported being Native Hawaiian or Pacific Islander

Percent White: The percentage of the population as of July 2015 that reported being White

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