Differences in patient perceptions of integrated care among black, hispanic, and white Medicare beneficiaries
| Autor: | Molly Frean, Hassina Bahadurazada, Sara J. Singer, Sonia Khurana, Maike Tietschert, Nancy Song, Jody So, Luis Garcia, Emilia J. Ling, Christian Covington |
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| Přispěvatelé: | Organization & Processes of Organizing in Society (OPOS), Network Institute, Organization Sciences |
| Rok vydání: | 2021 |
| Předmět: |
Male
Health Status Ethnic group Beneficiary Medicare White People 03 medical and health sciences 0302 clinical medicine Patient-Centered Care Humans 030212 general & internal medicine Socioeconomic status Aged Aged 80 and over Past medical history Data collection White (horse) 030503 health policy & services Health Policy Racial Groups Hispanic or Latino United States Test (assessment) Integrated care Black or African American Socioeconomic Factors Female 0305 other medical science Psychology Demography |
| Zdroj: | Ling, E, Frean, M, So, J, Song, N, Covington, C, Tietschert, M, Bahadurzada, H, Gitakhurana, S, Garcia, L & Singer, S J 2021, ' Differences in patient perceptions of integrated care among black, hispanic, and white medicare beneficiaries ', Health Services Research, vol. 56, no. 3, pp. 507-516 . https://doi.org/10.1111/1475-6773.13637 Health Services Research, 56(3), 507-516. Wiley-Blackwell Health Serv Res |
| ISSN: | 1475-6773 0017-9124 |
| DOI: | 10.1111/1475-6773.13637 |
| Popis: | OBJECTIVE: This study sought to identify potential disparities among racial/ethnic groups in patient perceptions of integrated care (PPIC) and to explore how methodological differences may influence measured disparities. DATA SOURCE: Data from Medicare beneficiaries who completed the 2015 Medicare Current Beneficiary Survey (MCBS) and were enrolled in Part A benefits for an entire year. STUDY DESIGN: We used 4‐point measures of eight dimensions of PPIC and assessed differences in dimensions among racial/ethnic groups. To estimate differences, we applied a “rank and replace” method using multiple regression models in three steps, balancing differences in health status among racial groups and adjusting for differences in socioeconomic status. We reran all analyses with additional SES controls and using standard multiple variable regression. DATA COLLECTION/EXTRACTION METHODS: Not applicable. PRINCIPAL FINDINGS: We found several significant differences in perceived integrated care between Black versus White (three of eight measures) and Hispanic versus White (one of eight) Medicare beneficiaries. On average, Black beneficiaries perceived more integrated support for self‐care than did White beneficiaries (mean difference = 0.14, SE = 0.06, P =.02). Black beneficiaries perceived more integrated specialists’ knowledge of past medical history than did White beneficiaries (mean difference = 0.12, SE = 0.06, P =.01). Black and Hispanic beneficiaries also each reported, on average, 0.18 more integrated medication and home health management than did White beneficiaries (P |
| Databáze: | OpenAIRE |
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