Patient Opinion on the Affordable Care Act in an Otolaryngology Practice: the Ideological Divide.

Jared C Hiebert, Robert M Rhodes, Michael P Anderson, Nilesh R Vasan
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Abstract

OBJECTIVE: To assess patient opinion on the Patient Protection and Affordable Care Act (PPACA) in an Otolaryngology practice and the factors that influence those opinions. STUDY DESIGN: Observational study. METHODS: An anonymous survey assessing patient opinion on the PPACA, demographic information, political affiliation, medical diagnosis, and insurance status was distributed to patients in three separate Otolaryngology clinics (General, cancer, and Low-income/Indigent) from April to June 2014. A total of 300 surveys were distributed and 207 were used for final analysis. The primary study outcome measures were patient opinion of the PPACA and statistically significant variables affecting that opinion. The association of Support for the PPACA and variables were tested using the Chi-square test. RESULTS: The only variables that showed a significant association with support for the PPACA were Political Party (p<0.0001) and Ethnicity (p=0.0050). Specifically, a higher proportion of Democrats support the PPACA than Republicans and a higher proportion of African Americans and Hispanic/Latinos support the PPACA than Whites and Native Americans. CONCLUSION: Our survey of current Otolaryngology patients mirrors national findings of the division between Republicans and Democrats in their attitudes towards the Affordable Care Act. Political party appears to be the most significant factor in shaping patient opinion on this controversial subject regardless of insurance status or cancer diagnosis and a higher proportion of African Americans and Hispanic/Latinos support the PPACA than Whites and Native Americans. LEVEL OF EVIDENCE: IV.

患者对平价医疗法案在耳鼻喉科实践的意见:意识形态分歧。
目的:评估患者对耳鼻喉科实践中患者保护和平价医疗法案(PPACA)的意见以及影响这些意见的因素。研究设计:观察性研究。方法:2014年4月至6月,对三个独立的耳鼻喉科诊所(普通科、癌症科和低收入/贫困科)的患者进行匿名调查,评估患者对PPACA的意见、人口统计信息、政治派别、医疗诊断和保险状况。共发放了300份调查问卷,其中207份用于最终分析。主要研究结果测量是患者对PPACA的意见和影响该意见的有统计学意义的变量。采用卡方检验检验PPACA支持度与变量的相关性。结果:唯一显示与PPACA支持显著相关的变量是政党(p
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