Substance Use Disorder-Related Disparities in Patient Experiences of Primary Care
Author(s) -
Katherine J. Hoggatt,
Susan M. Frayne,
Fay Saechao,
Elizabeth M. Yano,
Donna L. Washington
Publication year - 2019
Publication title -
health equity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.826
H-Index - 9
ISSN - 2473-1242
DOI - 10.1089/heq.2018.0069
Subject(s) - primary care , demographics , medicine , medical diagnosis , family medicine , medical record , substance use , health care , electronic medical record , psychiatry , demography , pathology , sociology , economics , economic growth
Purpose: To assess disparities in primary care experiences for patients with a substance use disorder (SUD) diagnosis. Methods: We assessed differences in Veterans Health Administration (VA) primary care patients' experiences using data from the 2014 outpatient VA Patient-Centered Medical Home Survey of Healthcare Experiences of Patients (SHEP; N =286,026). We obtained patient demographics and diagnoses from VA electronic medical record data. Results: Patients with an SUD diagnosis reported worse experiences for 8 of 12 SHEP measures, including access, provider communication, and information received ( p <0.05). Conclusion: Targeted strategies may be needed to ensure patients with SUD have favorable primary care experiences.
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