Evidence map›Paper›PMID 20406313›Full record

SynthesisJournal of the American Geriatrics Society2010

Medicare beneficiaries' knowledge of and choices regarding Part D, 2005 to the present.

Jennifer M Polinski, Aman Bhandari, Uzaib Y Saya, Sebastian Schneeweiss, William H Shrank

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Geriatrics Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Medicare Decision-making, Understanding, and Satisfaction Among Cancer Survivors.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Health reforms as examples of multilevel interventions in cancer care.Journal of the National Cancer Institute. Monographs · 2012
    Article
  14. Article
  15. Article
  16. 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

5 authors.

Jennifer M PolinskiDivision of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, Massachusetts 02120, USA. jpolinski@partners.org
Aman Bhandari
Uzaib Y Saya
Sebastian Schneeweiss
William H Shrank

Funding

TRAINING PROGRAM IN EPIDEMIOLOGIC RESEARCH ON AGINGT32AG000158 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI GAZIANO, J. MICHAEL · 1988 to 2015
$2.1M
Impact of Medicare Drug Coverage on Antidepressant Quality and OutcomesU01MH079175 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHNEEWEISS, SEBASTIAN G. · 2007 to 2010
$1.6M
An intervention to improve rational prescribing in cardiovascular diseaseK23HL090505 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SHRANK, WILLIAM · 2007 to 2010
$650k
NHLBI NIH HHS K23 HL-090505NHLBI NIH HHS K23 HL090505NIA NIH HHS T32 AG000158NIMH NIH HHS R01 5U01MH079175-02NIMH NIH HHS U01 MH079175
6 · The paper itself

Abstract

In the months before and years since Medicare Part D's implementation in January 2006, many have been concerned with beneficiaries' ability to benefit from the complex program. A systematic review of published Medline and gray literature from January 1, 2005, to August 20, 2009, was undertaken to evaluate Medicare beneficiaries' knowledge about Part D and how this knowledge informed decisions regarding enrollment and plan choice. Thirty articles that reported original results describing seniors' knowledge of the Part D benefit, decision to enroll, or selection of plans; results from patient surveys addressing these issues; or results that analyzed enrollment data or plan selection patterns were included. Of these 30 articles, 10 described beneficiaries' knowledge, 12 described enrollment and plan choices, and eight described knowledge and choice. Across studies and years, beneficiaries' knowledge of the Part D program and benefit structure and design was poor, particularly with regard to the coverage gap and the low-income subsidy. Beneficiaries had great difficulty choosing the lowest-cost Part D plans and were disinclined to switch plans to improve their benefits. Knowledge deficits, enrollment problems, and plan choice difficulties were most pronounced during Part D implementation in early 2006 but persisted in subsequent years of the benefit. Beneficiaries' knowledge and choices should be monitored on an ongoing basis to inform potential changes to the Part D program.

Indexed as

Health Knowledge, Attitudes, PracticeMedicare Part DAgedHumansMiddle AgedUnited States

Identifiers

PMID20406313
PMCPMC2909383

What OpenQuestion holds

Textmetadata
LicenceTDM
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.