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<div><div><ul><li><a href="/research/findings/nhqrdr/nhdr11/index.html">Main Page</a></li><li><a href="/research/findings/nhqrdr/nhdr11/ackno.html">Acknowledgments</a></li><li><a href="/research/findings/nhqrdr/nhdr11/key.html">Highlights From the National Healthcare Quality and Disparities Report</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap1.html">Chapter 1. Introduction and Methods</a></li><li><a href="nhdr11/chap2.htm">Chapter 2. Effectiveness</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap3.html">Chapter 3. Patient Safety</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap4.html">Chapter 4. Timeliness</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap5.html">Chapter 5. Patient Centeredness</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap6.html">Chapter 6. Care Coordination</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap7.html">Chapter 7. Efficiency</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap8.html">Chapter 8. Health Systems Infrastructure</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap9.html">Chapter 9. Access to Health Care</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap10.html">Chapter 10. Priority Populations</a></li><li><strong>Appendixes</strong></li><li>Data Sources</li><li>Detailed Methods</li><li>Measure Specifications</li><li>Data Tables</li></ul></div></div>
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<h1>Chapter 5. Patient Centeredness (Text Descriptions)</h1>
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<h2>National Healthcare Disparities Report, 2011</h2> <div id="basic-modal"><!-- start: Basic Modal -->
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<br /> <a id="fig51" name="fig51"></a> <h4 class="figcaption">Figure 5.1. Adults who had a doctor's office or clinic visit in the last 12 months who reported poor communication with health providers, by race and by education, 2002-2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Race</th><th scope="col">2002</th><th scope="col">2003</th><th scope="col">2004</th><th scope="col">2005</th><th scope="col">2006</th><th scope="col">2007</th><th scope="col">2008</th></tr><tr><td scope="row">White (percent)</td><td align="center">10.4</td><td align="center">9.4</td><td align="center">9.0</td><td align="center">9.1</td><td align="center">9.5</td><td align="center">9.0</td><td align="center">9.0</td></tr><tr><td scope="row">Black (percent)</td><td align="center">11.4</td><td align="center">11.3</td><td align="center">11.3</td><td align="center">12.7</td><td align="center">10.3</td><td align="center">10.4</td><td align="center">12.2</td></tr><tr><td scope="row">Asian (percent)</td><td align="center">14.5</td><td align="center">13.5</td><td align="center">14.3</td><td align="center">13.0</td><td align="center">13.1</td><td align="center">10.9</td><td align="center">11.1</td></tr><tr><td scope="row">AI/AN (percent)</td><td align="center">18.4</td><td align="center">8.3</td><td align="center">-</td><td align="center">-</td><td align="center">15.6</td><td align="center">-</td><td align="center">-</td></tr><tr><td scope="row">Multiple (percent)</td><td align="center">13.8</td><td align="center">15.2</td><td align="center">14.4</td><td align="center">9.7</td><td align="center">14.3</td><td align="center">15.0</td><td align="center">12.3</td></tr></tbody></table><br /> <table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Education</th><th scope="col">2002</th><th scope="col">2003</th><th scope="col">2004</th><th scope="col">2005</th><th scope="col">2006</th><th scope="col">2007</th><th scope="col">2008</th></tr><tr><td scope="row">Any College (percent)</td><td align="center">9.7</td><td align="center">8.8</td><td align="center">8.4</td><td align="center">8.5</td><td align="center">8.6</td><td align="center">8.7</td><td align="center">8.2</td></tr><tr><td scope="row">High School Grad (percent)</td><td align="center">10.9</td><td align="center">9.6</td><td align="center">9.9</td><td align="center">9.5</td><td align="center">10.6</td><td align="center">8.9</td><td align="center">10.3</td></tr><tr><td scope="row"><High School (percent)</td><td align="center">13.4</td><td align="center">13.0</td><td align="center">12.8</td><td align="center">13.5</td><td align="center">12.4</td><td align="center">11.6</td><td align="center">12.5</td></tr></tbody></table><p class="size2"><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008.<br /><br /><strong>Denominator:</strong> Civilian noninstitutionalized population age 18 and over who had a doctor's office or clinic visit in the last 12 months.<br /><br /> <strong>Note:</strong> For this measure, lower rates are better. Patients who report that their health providers sometimes or never listened carefully, explained things clearly, showed respect for what they had to say, or spent enough time with them are considered to have poor communication.<br /><br /><strong>Footnote:</strong> - = no data value available.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap5.html#fig51">Return to Document</a></p><a id="fig52" name="fig52"></a> <h4 class="figcaption">Figure 5.2. Adult ambulatory patients who reported poor communication with health providers, by race and ethnicity, stratified by income, 2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Income</th><th scope="col">White</th><th scope="col">Black</th><th scope="col">Asian</th></tr><tr><td scope="row">Poor</td><td align="center">13.1</td><td align="center">17.1</td><td align="center">-</td></tr><tr><td scope="row">Low Income</td><td align="center">11.9</td><td align="center">12.3</td><td align="center">-</td></tr><tr><td scope="row">Middle Income</td><td align="center">9.3</td><td align="center">12.3</td><td align="center">11.5</td></tr><tr><td scope="row">High Income</td><td align="center">7.1</td><td align="center">8.1</td><td align="center">9.5</td></tr></tbody></table><br /> <table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Income</th><th scope="col">Non-Hispanic White</th><th scope="col">Hispanic</th></tr><tr><td scope="row">Poor (percent)</td><td align="center">13.4</td><td align="center">11.9</td></tr><tr><td scope="row">Low Income (percent)</td><td align="center">11.1</td><td align="center">15.3</td></tr><tr><td scope="row">Middle Income (percent)</td><td align="center">9.2</td><td align="center">10.7</td></tr><tr><td scope="row">High Income (percent)</td><td align="center">7.2</td><td align="center">5.6</td></tr></tbody></table><p class="size2"><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2008.<br /><br /><strong>Denominator:</strong> Civilian noninstitutionalized population age 18 and over.<br /><br /><strong>Note:</strong> For this measure, lower rates are better. Sample sizes were too small to provide estimates for poor and near-poor Asians. Patients who report that their health providers sometimes or never listened carefully, explained things clearly, showed respect for what they had to say, or spent enough time with them are considered to have poor communication.<br /><br /><strong>Footnote:</strong> - = no data value available.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap5.html#fig52">Return to Document</a></p><a id="fig53" name="fig53"></a> <h4 class="figcaption">Figure 5.3. Children who had a doctor's office or clinic visit in the last 12 months whose parents reported poor communication with health providers: Overall composite, by race and insurance status, 2002-2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Race</th><th scope="col">2002</th><th scope="col">2003</th><th scope="col">2004</th><th scope="col">2005</th><th scope="col">2006</th><th scope="col">2007</th><th scope="col">2008</th></tr><tr><td scope="row">White (percent)</td><td align="center">6.5</td><td align="center">5.5</td><td align="center">5.4</td><td align="center">5.3</td><td align="center">4.9</td><td align="center">4.8</td><td align="center">4.4</td></tr><tr><td scope="row">Black (percent)</td><td align="center">7.1</td><td align="center">7.5</td><td align="center">6.3</td><td align="center">5.7</td><td align="center">5.1</td><td align="center">5.1</td><td align="center">4.1</td></tr><tr><td scope="row">Asian (percent)</td><td align="center">10.2</td><td align="center">12.5</td><td align="center">7.6</td><td align="center">-</td><td align="center">3.5</td><td align="center">-</td><td align="center">3.8</td></tr><tr><td scope="row">Multiple Race (percent)</td><td align="center">10.1</td><td align="center">6.7</td><td align="center">7.9</td><td align="center">6.7</td><td align="center">-</td><td align="center">4.7</td><td align="center">5.3</td></tr></tbody></table><br /> <table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Race</th><th scope="col">2002</th><th scope="col">2003</th><th scope="col">2004</th><th scope="col">2005</th><th scope="col">2006</th><th scope="col">2007</th><th scope="col">2008</th></tr><tr><td scope="row">White (percent)</td><td align="center">10.4</td><td align="center">9.4</td><td align="center">9.0</td><td align="center">9.1</td><td align="center">9.5</td><td align="center">9.0</td><td align="center">9.0</td></tr><tr><td scope="row">Black (percent)</td><td align="center">11.4</td><td align="center">11.3</td><td align="center">11.3</td><td align="center">12.7</td><td align="center">10.3</td><td align="center">10.4</td><td align="center">12.2</td></tr><tr><td scope="row">Asian (percent)</td><td align="center">14.5</td><td align="center">13.5</td><td align="center">14.3</td><td align="center">13.0</td><td align="center">13.1</td><td align="center">10.9</td><td align="center">11.1</td></tr><tr><td scope="row">AI/AN (percent)</td><td align="center">18.4</td><td align="center">8.3</td><td align="center">-</td><td align="center">-</td><td align="center">15.6</td><td align="center">-</td><td align="center">-</td></tr><tr><td scope="row">Multiple (percent)</td><td align="center">13.8</td><td align="center">15.2</td><td align="center">14.4</td><td align="center">9.7</td><td align="center">14.3</td><td align="center">15.0</td><td align="center">12.3</td></tr></tbody></table><p class="size2"><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008.<br /><br /><strong>Denominator:</strong> Civilian noninstitutionalized population under age 18.<br /><br /><strong>Note:</strong> For this measure, lower rates are better. Data for Asians in 2005 and 2007 and multiple-race children in 2006 did not meet criteria for statistical reliability. Parents who report that their child's health providers sometimes or never listened carefully, explained things clearly, showed respect for what they had to say, or spent enough time with them are considered to have poor communication.<br /><br /><strong>Footnote:</strong> - = no data value available.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap5.html#fig53">Return to Document</a></p><a id="fig54" name="fig54"></a> <h4 class="figcaption">Figure 5.4. Composite measure: Children with ambulatory visits whose parents reported poor communication with health providers, by race and ethnicity, stratified by income, 2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Income</th><th scope="col">White</th><th scope="col">Black</th></tr><tr><td scope="row">Poor (percent)</td><td align="center">6.7</td><td align="center">6.0</td></tr><tr><td scope="row">Low Income (percent)</td><td align="center">5.9</td><td align="center">3.7</td></tr><tr><td scope="row">Middle (percent)</td><td align="center">3.1</td><td align="center">3.5</td></tr><tr><td scope="row">High (percent)</td><td align="center">3.9</td><td align="center">-</td></tr></tbody></table><br /> <table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Income</th><th scope="col">Non-Hispanic White</th><th scope="col">Hispanic All Races</th></tr><tr><td scope="row">Poor (percent)</td><td align="center">7.5</td><td align="center">6.0</td></tr><tr><td scope="row">Low Income (percent)</td><td align="center">4.8</td><td align="center">8.2</td></tr><tr><td scope="row">Middle (percent)</td><td align="center">2.9</td><td align="center">3.8</td></tr><tr><td scope="row">High (percent)</td><td align="center">3.8</td><td align="center">3.7</td></tr></tbody></table><p class="size2"><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2008.<br /><br /><strong>Denominator:</strong> Civilian noninstitutionalized population under age 18.<br /><br /><strong>Note:</strong> For this measure, lower rates are better. Data were not available for high-income Blacks. Parents who report that their child's health providers sometimes or never listened carefully, explained things clearly, showed respect for what they had to say, or spent enough time with them are considered to have poor communication.<br /><br /><strong>Footnote:</strong> - = no data value available.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap5.html#fig54">Return to Document</a></p><a id="fig55" name="fig55"></a> <h4 class="figcaption">Figure 5.5. Adult hospital patients who reported poor communication with nurses and with doctors, by race, ethnicity, education, and language, 2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Communication With Nurses</th><th scope="col">Percent</th></tr><tr><td scope="row">White</td><td align="center">5.3</td></tr><tr><td scope="row">Black</td><td align="center">7.5</td></tr><tr><td scope="row">Asian</td><td align="center">6.4</td></tr><tr><td scope="row">NHOPI</td><td align="center">6.7</td></tr><tr><td scope="row">AI/AN</td><td align="center">8.0</td></tr><tr><td scope="row">>1 Race</td><td align="center">7.8</td></tr><tr><td scope="row">Non-Hispanic White</td><td align="center">6.5</td></tr><tr><td scope="row">Hispanic</td><td align="center">5.3</td></tr><tr><td scope="row"><High School</td><td align="center">6.5</td></tr><tr><td scope="row">High School Grad</td><td align="center">5.3</td></tr><tr><td scope="row">Any College</td><td align="center">5.2</td></tr><tr><td scope="row">English at Home</td><td align="center">5.4</td></tr><tr><td scope="row">Spanish at Home</td><td align="center">6.9</td></tr><tr><td scope="row">Other Language</td><td align="center">7.2</td></tr></tbody></table><br /> <table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Communication With Doctors</th><th scope="col">Percent</th></tr><tr><td scope="row">White</td><td align="center">4.9</td></tr><tr><td scope="row">Black</td><td align="center">5.9</td></tr><tr><td scope="row">Asian</td><td align="center">5.2</td></tr><tr><td scope="row">NHOPI</td><td align="center">5.4</td></tr><tr><td scope="row">AIAN</td><td align="center">7.2</td></tr><tr><td scope="row">>1 Race</td><td align="center">7.6</td></tr><tr><td scope="row">Non-Hispanic White</td><td align="center">4.9</td></tr><tr><td scope="row">Hispanic</td><td align="center">5.1</td></tr><tr><td scope="row"><High School</td><td align="center">5.7</td></tr><tr><td scope="row">High School Grad</td><td align="center">5.0</td></tr><tr><td scope="row">Any College</td><td align="center">5.0</td></tr><tr><td scope="row">English at Home</td><td align="center">5.2</td></tr><tr><td scope="row">Spanish at Home</td><td align="center">4.8</td></tr><tr><td scope="row">Other Language</td><td align="center">5.9</td></tr></tbody></table><p class="size2"><strong>Key:</strong> NHOPI - Native Hawaiian or Other Pacific Islander; AI/AN = American Indian or Alaska Native.<br /><br /><strong>Source:</strong> Agency for Healthcare Research and Quality, Hospital CAHPS ® (Consumer Assessment of Healthcare Providers and Systems) Survey, 2008.<br /><br /><strong>Note:</strong> For this measure, lower rates are better. Poor communication is defined as responded "sometimes" or "never" to the set of survey questions: "During this hospital stay, how often did doctors/nurses treat you with courtesy and respect?" "During this hospital stay, how often did doctors/nurses listen carefully to you?" and "During this hospital stay, how often did doctors/nurses explain things in a way you could understand?"</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap5.html#fig55">Return to Document</a></p><a id="fig56" name="fig56"></a> <h4 class="figcaption">Figure 5.6. California and New Jersey Hospitals with a high number of discharges when English was not the primary language, by ownership, teaching status, occupancy load, and geographic location, 2009</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Hospitals</th><th scope="col">Private For Profit</th><th scope="col">Private Not for Profit</th><th scope="col">Public</th><th scope="col">Teaching</th><th scope="col">Nonteaching</th><th scope="col">High Occupancy</th><th scope="col">Med Occupancy</th><th scope="col">Low Occupancy</th><th scope="col">Large Metro</th><th scope="col">Small Metro</th><th scope="col">Micropolitan</th><th scope="col">Noncore</th></tr><tr><td scope="row">Hospitals with High numbers of Non-English Speakers</td><td align="center">92.6</td><td align="center">90.6</td><td align="center">84.3</td><td align="center">76.6</td><td align="center">94.5</td><td align="center">82.1</td><td align="center">92.5</td><td align="center">97.4</td><td align="center">86.9</td><td align="center">95.9</td><td align="center">100.0</td><td align="center">100.0</td></tr><tr><td scope="row">Hospitals with Low numbers of Non-English Speakers</td><td align="center">7.4</td><td align="center">9.4</td><td align="center">15.7</td><td align="center">23.4</td><td align="center">5.5</td><td align="center">17.9</td><td align="center">7.5</td><td align="center">2.6</td><td align="center">13.1</td><td align="center">4.1</td><td align="center">0</td><td align="center">0</td></tr></tbody></table><p class="size2"><strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases.<br /><br /><strong>Note:</strong> n=42 hospitals; n=229,394 discharges. High Percentage Spanish Hospitals represent the top 10% of facilities with the highest percentages of discharges for where English was not the primary language. California and New Jersey only.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap5.html#fig56">Return to Document</a></p><a id="fig57" name="fig57"></a> <h4 class="figcaption">Figure 5.7. Adults with limited English proficiency, by whether they had a usual source of care with or without language assistance, by race, ethnicity, income, and education, 2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Race / Ethnicity / Income / Education</th><th scope="col">No USC</th><th scope="col">With Language Assistance</th><th scope="col">Without Language Assistance</th></tr><tr><td scope="row">White (percent)</td><td align="center">52.5</td><td align="center">44.0</td><td align="center">3.5</td></tr><tr><td scope="row">Black (percent)</td><td align="center">39.9</td><td align="center">45.0</td><td align="center">15.0</td></tr><tr><td scope="row">Asian (percent)</td><td align="center">42.8</td><td align="center">34.9</td><td align="center">22.4</td></tr><tr><td scope="row">Non-Hispanic (percent)</td><td align="center">41.1</td><td align="center">41.9</td><td align="center">17.0</td></tr><tr><td scope="row">Hispanic (percent)</td><td align="center">53.2</td><td align="center">44.3</td><td align="center">2.5</td></tr><tr><td scope="row">Poor (percent)</td><td align="center">45.4</td><td align="center">49.6</td><td align="center">-</td></tr><tr><td scope="row">Poor (percent)</td><td align="center">52.6</td><td align="center">42.6</td><td align="center">4.8</td></tr><tr><td scope="row">Low Income (percent)</td><td align="center">56.2</td><td align="center">39.9</td><td align="center">3.9</td></tr><tr><td scope="row">Middle Income (percent)</td><td align="center">48.2</td><td align="center">45.7</td><td align="center">6.1</td></tr><tr><td scope="row"><High School (percent)</td><td align="center">50.1</td><td align="center">46.0</td><td align="center">3.9</td></tr><tr><td scope="row">High School Grad (percent)</td><td align="center">53.8</td><td align="center">38.9</td><td align="center">7.3</td></tr><tr><td scope="row">Any College (percent)</td><td align="center">46.4</td><td align="center">45.0</td><td align="center">8.6</td></tr></tbody></table><p class="size2"><strong>Key:</strong> USC = usual source of care.<br /><br /><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2008.<br /><br /><strong>Note:</strong> For this measure, lower rates are better. Hispanic and non-Hispanic include all races. Data were not available for those in the high income group.<br /><br /><strong>Footnote:</strong> - = no data value available.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap5.html#fig57">Return to Document</a></p><a id="fig58" name="fig58"></a> <h4 class="figcaption">Figure 5.8. Adults age 18 and over who needed a translator during last doctor visit, California, by race/ethnicity, income, and education, 2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Race / Ethnicity / Income / Education</th><th scope="col">Percent</th></tr><tr><td scope="row">All Hispanics</td><td align="center">9.5</td></tr><tr><td scope="row">Mexican</td><td align="center">9.9</td></tr><tr><td scope="row">Central American</td><td align="center">12.1</td></tr><tr><td scope="row">Non-Hispanic White</td><td align="center">0.5</td></tr><tr><td scope="row">All Asians</td><td align="center">3.0</td></tr><tr><td scope="row">Chinese</td><td align="center">4.9</td></tr><tr><td scope="row">Vietnamese</td><td align="center">5.3</td></tr><tr><td scope="row">Poor</td><td align="center">12.1</td></tr><tr><td scope="row">Low Income</td><td align="center">6.9</td></tr><tr><td scope="row">Middle Income</td><td align="center">2.4</td></tr><tr><td scope="row">High Income</td><td align="center">0.7</td></tr><tr><td scope="row"><High School</td><td align="center">14.1</td></tr><tr><td scope="row">High School Grad</td><td align="center">2.9</td></tr><tr><td scope="row">Any College</td><td align="center">1.3</td></tr></tbody></table><p class="size2"><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2008.<br /><br /><strong>Note:</strong> For this measure, lower rates are better.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap5.html#fig58">Return to Document</a></p><a id="fig59" name="fig59"></a> <h4 class="figcaption">Figure 5.9. Adults with a usual source of care whose health providers sometimes or never asked for the patient's help to make treatment decisions, by race, ethnicity, income, education, and English proficiency, 2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Race / Ethnicity / Income / Education / English Proficiency</th><th scope="col">Percent</th></tr><tr><td scope="row">White</td><td align="center">15.0</td></tr><tr><td scope="row">Black</td><td align="center">17.5</td></tr><tr><td scope="row">Asian</td><td align="center">23.6</td></tr><tr><td scope="row">AI/AN</td><td align="center">14.0</td></tr><tr><td scope="row">>1 Race</td><td align="center">16.0</td></tr><tr><td scope="row">Non-Hispanic White</td><td align="center">14.3</td></tr><tr><td scope="row">Hispanic</td><td align="center">18.4</td></tr><tr><td scope="row">Poor</td><td align="center">19.2</td></tr><tr><td scope="row">Low Income</td><td align="center">16.2</td></tr><tr><td scope="row">Middle Income</td><td align="center">14.9</td></tr><tr><td scope="row">High Income</td><td align="center">14.9</td></tr><tr><td scope="row"><High School</td><td align="center">18.7</td></tr><tr><td scope="row">High School Grad</td><td align="center">16.2</td></tr><tr><td scope="row">Any College</td><td align="center">14.5</td></tr><tr><td scope="row">English Spoken at Home</td><td align="center">15.2</td></tr><tr><td scope="row">Other Language Spoken at Home</td><td align="center">18.8</td></tr></tbody></table><p class="size2"><strong>Note:</strong> For this measure, lower rates are better.<br /><br /><strong>Key:</strong> AI/AN = American Indian or Alaska Native.<br /><br /><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2008.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap5.html#fig59">Return to Document</a></p> </div>
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<div class="current-as-of">Page last reviewed October 2014</div>
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<span>Internet Citation: Chapter 5. Patient Centeredness (Text Descriptions): National Healthcare Disparities Report, 2011.
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October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhdr11/chap5txt.html</span>
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