Victor Okunrintemi|Rohan Khera|Erica S. Spatz|Joseph Salami|Javier Valero?Elizondo|Haider J. Warraich|Salim S. Virani|Ron Blankstein|Michael J. Blaha|Timothy M. Pawlik|Kumar Dharmarajan|Harlan M. Krumholz|Khurram Nasir
Association of Income Disparities with Patient-Reported Healthcare Experience
East Carolina University|The University of Texas Southwestern Medical Center|Baptist Health South Florida|Duke Medical Center|Michael E. DeBakey VA Medical Center|Brigham and Women's Hospital|Johns Hopkins University|The Ohio State University Wexner Medical Center|Yale University|Yale University
disparities health outcome exist among patients according socioeconomic status however little known regarding differences healthcare experiences across various levels income patients nationally representative us adult population evaluate differences healthcare experiences based patient level income evaluate differences patient healthcare experiences based level income identified 68447 individuals mean age 48 18 years 55 female representing 1768 million us adults established healthcare provider 20102013 medical expenditure panel survey cohort retrospective study examined differences five patientreported healthcare experience measures access care provider responsiveness patientprovider communication shared decisionmaking patient satisfaction consumer assessment healthcare providers systems cahps survey examined relationship patient income healthcare experience overall 32 study participants highincome earners 23 verylow income lower income consistently associated poor patient report healthcare experience compared high income verylowincomeearning participants 163 times greater odds 163 95 ci 145182 experiencing difficulty accessing care 134 times higher odds 134 95 ci 125145 experiencing poor communication higher odds 168 95 ci 146192 experiencing delays healthcare delivery likely report poor provider satisfaction 148 95 ci 137161 lower incomeearning patients poorer healthcare experience aspects access quality care targeted policies focusing improving communication engagement satisfaction needed enhance patient healthcare experience vulnerable population