Evidence map›Paper›PMID 12968821›Full record

ArticleHealth services research2003

Practice characteristics and HMO enrollee satisfaction with specialty care: an analysis of patients with glaucoma and diabetic retinopathy.

José J Escarce, Kanika Kapur, Matthew D Solomon, Carol M Mangione, Paul P Lee, John L Adams, Steven L Wickstrom, Elaine S Quiter

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Health services research, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
5.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 10 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

José J EscarceRAND Health Program, Santa Monica, CA 90407-2138, USA.
Kanika Kapur
Matthew D Solomon
Carol M Mangione
Paul P Lee
John L Adams
Steven L Wickstrom
Elaine S Quiter
RAND Corporation · US

Funding

QUALITY OF CHRONIC EYE CARE UNDER MANAGED CAREU01HS009942 · AHRQ · RAND CORPORATION · PI ESCARCE, JOSE JULIO · 1998 to 2000
–
AHRQ HHS U01 HS009942AHRQ HHS U01-HS-09942
6 · The paper itself

Abstract

backgroundThe specialist's role in caring for managed care patients is likely to grow. Thus, assessing the correlates of patient satisfaction with specialty care is essential.

objectiveTo examine the association between characteristics of eye care practices and satisfaction with eye care among working age patients with open-angle glaucoma (OAG) or diabetic retinopathy (DR). SUBJECTS/STUDY

settingA total of 913 working age patients with OAG or DR enrolled in six commercial managed care health plans. The patients were treated in 144 different eye care practices. STUDY

designWe used a patient survey to obtain information on patient characteristics and satisfaction with eye care, measured by scores on satisfaction subscales of the 18-item Patient Satisfaction Questionnaire. We used a survey of eye care practices to obtain information on practice characteristics, including provider specialties, practice organization, financial features, and utilization and quality management systems. We estimated logistic regression models to assess the association of patient and practice characteristics with high levels of patient satisfaction. PRINCIPAL

findingsTreatment in a practice with a glaucoma specialist (for OAG patients) or a retina specialist (for DR patients) was associated with higher satisfaction, whereas treatment in a practice that obtained a high proportion of its revenues from capitation payments or in a group practice where providers obtained a high proportion of their incomes from bonuses was associated with lower satisfaction.

conclusionsMany eye care patients prefer to be treated by specialists with expertise in their conditions. Financial arrangement features of eye care practices also are associated with patient satisfaction with care. The most likely mechanisms underlying these associations are effects on provider behavior and satisfaction, which in turn influence patient satisfaction. Managed care plans and provider groups should aim to minimize the negative impact of managed care features on patient satisfaction.

Indexed as

Quality Indicators, Health CareDiabetic RetinopathyFemaleGlaucoma, Open-AngleHealth Care SurveysHumansIndependent Practice AssociationsLogistic ModelsMaleMiddle AgedOphthalmologyOptometryPatient SatisfactionPhysician-Patient RelationsPractice Management, MedicalSurveys and Questionnaires

Identifiers

PMID12968821
PMCPMC1360937
OpenAlexW1945595106

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.