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. 2018 Jan 8;33(3):305–331. doi: 10.1007/s11606-017-4221-9

Table 7.

Race/ethnicity-specific comparisons of health care satisfaction by gender, with domain-specific covariate adjustment. The set of Relative Rate Ratios (RRRs) for each domain compare the race/ethnicity-specific RRs of reporting “less than satisfied” versus “very satisfied” (left entry) and the RRs of reporting being “somewhat satisfied” versus “very satisfied” (right entry). RRRs to the left of 1.0 favor female Veterans being “very satisfied” relative to male Veterans of the same race/ethnicity

Domain of Health Care Overall Less than Satisfied vs. Very Satisfied Somewhat Satisfied vs. Very Satisfied
P Value RRR 95% CI P Value RRR 95% CI P Value
Overall carea
 White female vs. male 0.44 1.80 0.72, 4.49 0.21 1.12 0.53, 2.38 0.76
 Black female vs. male 0.94 0.88 0.36, 2.11 0.77 1.00 0.48, 2.09 1.00
 Hispanic female vs. male 0.93 0.86 0.39, 1.89 0.70 0.97 0.56, 1.67 0.91
Outpatient careb
 White female vs. male 0.13 1.19 0.46, 3.13 0.72 1.94 1.01, 3.73 0.05
 Black female vs. male 0.58 1.26 0.54, 2.95 0.60 1.32 0.79, 2.19 0.29
 Hispanic female vs. male 0.92 1.17 0.49, 2.78 0.73 0.96 0.57, 1.61 0.88
Primary care providerc
 White female vs. male 0.35 1.31 0.55, 3.10 0.54 1.78 0.80, 4.00 0.16
 Black female vs. male 0.55 1.46 0.67, 3.19 0.35 1.24 0.56, 2.78 0.60
 Hispanic female vs. male 0.79 1.04 0.42, 2.59 0.94 0.77 0.34, 1.71 0.52
Specialistd
 White female vs. male 0.67 1.56 0.59, 4.15 0.37 1.10 0.52, 2.34 0.80
 Black female vs. male 0.03 0.80 0.36, 1.78 0.58 0.45 0.24, 0.84 0.01
 Hispanic female vs. male 0.38 1.60 0.72, 3.54 0.25 1.35 0.64, 2.85 0.43
Mental health caree
 White female vs. male 0.83 0.76 0.31, 1.84 0.54 0.92 0.40, 2.13 0.85
 Black female vs. male 0.17 0.44 0.18, 1.05 0.06 1.07 0.49, 2.32 0.87
 Hispanic female vs. male 0.34 0.79 0.37, 1.68 0.54 1.92 0.67, 5.48 0.22
Pain managementf
 White female vs. male 0.39 1.72 0.73, 4.06 0.22 1.13 0.52, 2.43 0.76
 Black female vs. male 0.11 0.82 0.34, 1.98 0.66 0.57 0.33, 0.99 0.05
 Hispanic female vs. male 0.21 1.76 0.84, 3.70 0.13 0.81 0.40, 1.66 0.57
Accessg
 White female vs. male 0.60 1.55 0.66, 3.65 0.31 1.17 0.68, 2.02 0.57
 Black female vs. male 0.17 2.10 0.92, 4.79 0.08 1.46 0.77, 2.77 0.24
 Hispanic female vs. male 0.50 0.93 0.44, 1.95 0.84 1.30 0.69, 2.43 0.41
Pharmacyh
 White female vs. male 0.16 1.67 0.89;3.14 0.11 1.74 0.90; 3.40 0.10
 Black female vs. male 0.08 3.33 1.16; 9.54 0.03 1.13 0.58, 2.23 0.08
 Hispanic female vs. male 0.26 1.32 0.60; 2.92 0.49 0.59 0.27, 1.29 0.19
Coordination of carei
 White female vs. male 0.16 1.67 0.89, 3.14 0.11 1.74 0.90, 3.40 0.10
 Black female vs. male 0.58 1.33 0.68, 2.58 0.41 0.91 0.45, 1.86 0.80
 Hispanic female vs. male 0.23 1.83 0.91, 3.66 0.09 1.06 0.63, 1.81 0.82
Communicationj
 White female vs. male 0.48 1.49 0.69, 3.22 0.31 0.85 0.41, 1.75 0.65
 Black female vs. male 0.65 0.92 0.46, 1.83 0.81 1.30 0.69, 2.47 0.42
 Hispanic female vs. male 0.84 1.11 0.51, 2.38 0.80 1.22 0.63, 2.38 0.56
Respectk
 White female vs. male 0.15 2.43 0.97, 6.09 0.06 1.33 0.62, 2.83 0.46
 Black female vs. male 0.49 1.56 0.63, 3.87 0.33 1.63 0.68, 3.92 0.28
 Hispanic female vs. male 0.63 1.50 0.63, 3.55 0.36 0.92 0.48, 1.78 0.81
Physical facility (VAMC)l
 White female vs. male 0.24 1.82 0.75, 4.39 0.18 1.46 0.65, 3.28 0.36
 Black female vs. male 0.55 1.22 0.38, 3.87 0.74 0.68 0.31, 1.49 0.34
 Hispanic female vs. male 0.37 1.44 0.64, 3.23 0.38 1.58 0.78, 3.21 0.20
Physical facility (CBOC)m
 White female vs. male 0.18 0.50 0.14, 1.84 0.30 2.49 0.83, 7.44 0.10
 Black female vs. male 0.58 2.58 0.40, 16.49 0.32 0.97 0.34, 2.80 0.96
 Hispanic female vs. male 0.33 0.41 0.08, 1.95 0.26 1.50 0.61, 3.70 0.38
Cost of caren
 White female vs. male 0.06 1.60 0.53, 4.81 0.40 2.53 1.15, 5.58 0.02
 Black female vs. male 0.77 1.13 0.32, 4.03 0.85 1.57 0.46, 5.34 0.47
 Hispanic female vs. male 0.51 1.89 0.64, 5.61 0.25 1.22 0.47, 3.20 0.69
Inpatient careo
 White female vs. male 0.30 2.94 0.60, 14.47 0.18 2.19 0.57, 8.35 0.25
 Black female vs. male 0.70 0.92 0.22, 3.94 0.92 1.64 0.45, 6.06 0.45
 Hispanic female vs. male 0.39 3.42 0.57, 20.60 0.18 0.82 0.23, 2.92 0.76

Abbreviations: VAMC=Veterans Affairs Medical Center, CBOC=Community-Based Outpatient Clinic

Domain-specific adjustment:

aOverall: Health status, health compared to 1 year ago, depression, PTSD or anxiety disorder, receive all health care at VA and had ≥ 1 MH visit in the past 12 months

bOutpatient: Education, health status, health compared to 1 year ago, diabetes, receive all health care at VA and number of PCP visits in the past 12 months

cPCP: Income, health status, health compared to 1 year ago, and receive all health care at VA

dSpecialist: Number of adults, health status, health compared to 1 year ago, and receive all health care at VA

eMental Health: Health status, health compared to 1 year ago, depression, receive all health care at VA and had ≥ 1 MH visit in the past 12 months

fPain: Health status, health compared to 1 year ago, depression, receive all health care at VA, received treatment for pain in last 24 months and had ≥ outpatient visits in the past 12 months

gAccess: Health status, health compared to 1 year ago, health literacy, depression and receive all health care at VA

hPharmacy: Health status, health compared to 1 year ago, health literacy, asthma and receive all health care at VA

iCoordination of Care: Health status, health compared to 1 year ago, depression and receive all health care at VA

jCommunication: Health status, health compared to 1 year ago, digestive or GI problems and receive all health care at VA

kRespect: Education, number of adults, health status, health compared to 1 year ago, health literacy, depression and receive all health care at VA

lPhysical facility (VAMC): Education, employment status, health status, health compared to 1 year ago and receive all health care at VA

mPhysical facility (CBOC): Health status, health compared to 1 year ago and receive all health care at VA

nCost: Place of residence, health status, health compared to 1 year ago and receive all health care at VA

oInpatient: Post-Vietnam, health status, health compared to 1 year ago and receive all health care at VA