Charlotte Paddison|Marc N. Elliott|Amelia Haviland|Donna O. Farley|Georgios Lyratzopoulos|Katrin Hambarsoomian|Jacob W. Dembosky|Martín Roland
Experiences of Care Among Medicare Beneficiaries With ESRD: Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Results
University of Cambridge|RAND Corporation|RAND Corporation|Carnegie Mellon University|RAND Corporation|University of Cambridge|RAND Corporation|RAND Corporation|University of Cambridge
backgroundpatients endstage renal disease esrd special health needs little known care experiencesstudy designsecondary analysis 20092010 medicare consumer assessment healthcare providers systems cahps data using representative random samples medicare beneficiaries description medicare beneficiaries esrd investigation differences patient experiences sociodemographic characteristics coverage typesetting participantsdata collected 823564 medicare beneficiaries 3794 esrd part medicare cahps survey administered mail telephone followup nonrespondentspredictoresrd status age education selfreported general mental health status raceethnicity sex medicare coverage type state residence demographic measuresoutcomes6 composite measures patient experience 4 care domains access care physician communication customer service access prescription drugs drug information 4 ratings overall care personal physician specialist physician prescription drug planresultspatients esrd reported better care experiences nonesrd beneficiaries 7 10 measures p 005 adjustment patient characteristics geography coverage type although small extent adjusted mean difference 3 points scale 0100 black patients esrd less educated patients likely patients esrd report poor experienceslimitationsinability distinguish patient experiences care different treatment modalitiesconclusionson average beneficiaries esrd report patient experiences least positive nonesrd beneficiaries however black less educated patients esrd reported worse experiences esrd patients stratified reporting patient experience raceethnicity education patients esrd used monitor disparity physician choice confidence trust physicians may particularly important patients esrd patients endstage renal disease esrd special health needs little known care experiences secondary analysis 20092010 medicare consumer assessment healthcare providers systems cahps data using representative random samples medicare beneficiaries description medicare beneficiaries esrd investigation differences patient experiences sociodemographic characteristics coverage type data collected 823564 medicare beneficiaries 3794 esrd part medicare cahps survey administered mail telephone followup nonrespondents esrd status age education selfreported general mental health status raceethnicity sex medicare coverage type state residence demographic measures 6 composite measures patient experience 4 care domains access care physician communication customer service access prescription drugs drug information 4 ratings overall care personal physician specialist physician prescription drug plan patients esrd reported better care experiences nonesrd beneficiaries 7 10 measures p 005 adjustment patient characteristics geography coverage type although small extent adjusted mean difference 3 points scale 0100 black patients esrd less educated patients likely patients esrd report poor experiences inability distinguish patient experiences care different treatment modalities average beneficiaries esrd report patient experiences least positive nonesrd beneficiaries however black less educated patients esrd reported worse experiences esrd patients stratified reporting patient experience raceethnicity education patients esrd used monitor disparity physician choice confidence trust physicians may particularly important patients esrd