ArticleThe New England journal of medicine2005
Trends in the quality of care and racial disparities in Medicare managed care.
Article in The New England journal of medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01156610 (Tobacco Treatment Outreach to Reduce Disparities for Primary Care Populations), which is not on this map. Cited by 155 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Tobacco Treatment Outreach to Reduce Disparities for Primary Care Populations
Who cites it
155 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Systematic review and meta-analysis of patient race/ethnicity, socioeconomics, and quality for adult type 2 diabetes.Health services research · 2020Pooled it
- Diabetes health disparities: a systematic review of health care interventions.Medical care research and review : MCRR · 2007Pooled it
- Cardiovascular health disparities: a systematic review of health care interventions.Medical care research and review : MCRR · 2007Pooled it
- Disparities in HbA1c levels between African-American and non-Hispanic white adults with diabetes: a meta-analysis.Diabetes care · 2006Pooled it
- Trial
- Quality of care and racial disparities in medicare among potential ACOs.Journal of general internal medicine · 2014Trial
- Association between quality of care and the sociodemographic composition of physicians' patient panels: a repeat cross-sectional analysis.Journal of general internal medicine · 2011Trial
- Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a Project Dulce promotora randomized trial.Diabetes care · 2011Trial
- Leveling the field: addressing health disparities through diabetes disease management.The American journal of managed care · 2010Trial
- Influence of patient race on physician prescribing decisions: a randomized on-line experiment.Journal of general internal medicine · 2009Trial
- Clinicians' views of an intervention to reduce racial disparities in diabetes outcomes.Journal of the National Medical AssociationTrial
- Racial and Ethnic Disparities in Medication Adherence Among Medicare Advantage Enrollees With Diabetes.JAMA network open · 2026Article
- Racial-Ethnic Disparities in Quality of Care Among Medicaid Beneficiaries With Schizophrenia.Psychiatric services (Washington, D.C.) · 2024Article
- Racial and Ethnic Disparities in Glycemic Control Among Insured US Adults.JAMA network open · 2023Article
- Differences In Use Of Services And Quality Of Care In Medicare Advantage And Traditional Medicare, 2010 And 2017.Health affairs (Project Hope) · 2023Article
- How does academia respond to the burden of infectious and parasitic disease?Health research policy and systems · 2022Article
- Health Disparities in Autosomal Dominant Polycystic Kidney Disease (ADPKD) in the United States.Clinical journal of the American Society of Nephrology : CJASN · 2022Article
- Disparities in Health Care Spending and Utilization Among Black and White Medicaid Enrollees.JAMA health forum · 2022Article
- Racial disparities in diabetes care among incident breast, prostate, and colorectal cancer survivors: a SEER Medicare study.Journal of cancer survivorship : research and practice · 2022Article
- Twenty years of pediatric diabetes surveillance: what do we know and why it matters.Annals of the New York Academy of Sciences · 2021Review
95 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundSince 1997, all managed-care plans administered by Medicare have reported on quality-of-care measures from the Health Plan Employer Data and Information Set (HEDIS). Studies of early data found that blacks received care that was of lower quality than that received by whites. In this study, we assessed changes over time in the overall quality of care and in the magnitude of racial disparities in nine measures of clinical performance.
methodsIn order to compare the quality of care for elderly white and black beneficiaries enrolled in Medicare managed-care plans who were eligible for at least one of nine HEDIS measures, we analyzed 1.8 million individual-level observations from 183 health plans from 1997 to 2003. For each measure, we assessed whether the magnitude of the racial disparity had changed over time with the use of multivariable models that adjusted for the age, sex, health plan, Medicaid eligibility, and socioeconomic position of beneficiaries on the basis of their area of residence.
resultsDuring the seven-year study period, clinical performance improved on all measures for both white enrollees and black enrollees (P<0.001). The gap between white beneficiaries and black beneficiaries narrowed for seven HEDIS measures (P<0.01). However, racial disparities did not decrease for glucose control among patients with diabetes (increasing from 4 percent to 7 percent, P<0.001) or for cholesterol control among patients with cardiovascular disorders (increasing from 14 percent to 17 percent; change not significant, P=0.72).
conclusionsThe measured quality of care for elderly Medicare beneficiaries in managed-care plans improved substantially from 1997 to 2003. Racial disparities declined for most, but not all, HEDIS measures we studied. Future research should examine factors that contributed to the narrowing of racial disparities on some measures and focus on interventions to eliminate persistent disparities in the quality of care.
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Registered trials
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.