African American men's rating of healthcare and its impact on healthcare utilization

Background: Quality remains foundational in healthcare because it has the potential to lead to favorable health outcomes. Literature shows African Americans (AA) are more likely than other groups to receive lower quality health care and AA men are less likely to use health services appropriately. However, no study has examined the impact of AA men's perception of healthcare and its impact on healthcare visits. Objective: To examine AA men's ratings of healthcare and it impact on primary healthcare and emergency room (ER) visits. Methods: Data was analyzed from the Consumer Assessment of Health Plans Survey from 2003-2006. The analytic sample included 10,268 AA men >18 years of age. Binomial logit models were used to examine the relationship between ratings and healthcare visits. Results: Overall, 77% were ≥ 45 years of age; 63% had some college education; 87% report good to excellent health, and 84% had been in their health plan at least 2 years. AA men who rated their personal physician higher (OR: 1.17), received care quickly (OR:2.28), and had helpful customer service (OR:1.48) were more likely to have 1-2 doctor visits within the past 12 months. AA men who received healthcare and appointments quickly (OR: 2.35) and had helpful customer service (OR:1.43) were more likely to report not using the ER for care. Conclusion: AA men's rating of healthcare and their personal experiences with the healthcare system impact their healthcare utilization. Providers and healthcare systems must continue to examine processes to ensure AA men use healthcare appropriately.