ArticleHealth services research2019
Geographic context of black-white disparities in Medicare CAHPS patient experience measures.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis 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.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Leveraging Learning Health Systems to Address Racial and Ethnic Disparities in Veteran Patient Experience.Journal of general internal medicine · 2026Article
- Structural Inequities In The Adoption Of Percutaneous Coronary Intervention Services By US Hospitals, 2000-20.Health affairs (Project Hope) · 2024Article
- Investigation of the role of perceived access to primary care in mediating and moderating racial and ethnic disparities in chronic disease control in the veterans health administration.Health services research · 2024Article
- Shadow Coaching Improves Patient Experience for English-Preferring Patients but not for Spanish-Preferring Patients.Journal of general internal medicine · 2023Article
- Relationship between Patient Experience Scores and Health Insurance.Healthcare (Basel, Switzerland) · 2022Article
- Differences in patient perceptions of integrated care among black, hispanic, and white Medicare beneficiaries.Health services research · 2021Article
- The Role of Place in Disparities Affecting Black Men Receiving Hemodialysis.Kidney international reports · 2021Article
- Geographic context of black-white disparities in Medicare CAHPS patient experience measures.Health services research · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo examine whether black-white patient experience disparities vary by geography and within-county contextual factors. DATA SOURCES: 321 300 Medicare beneficiaries responding to the 2015-2016 Medicare Consumer Assessment of Health care Providers and Systems (MCAHPS) Surveys; 2010 Census data for several within-county contextual factors. STUDY
designMixed-effects regression models predicted three MCAHPS patient experience measures for black and white beneficiaries from geographic random effects, contextual fixed effects, and beneficiary-level case-mix adjustors. PRINCIPAL
findingsBlack-white disparities in patient experiences were smaller in counties with higher average patient experiences. Black-white disparities in patient experiences were not associated with county-level poverty or racial segregation. However, county racial segregation and some measures of poverty were significantly associated with all beneficiaries' level of health care access. Getting Needed Care scores were higher with greater racial segregation, while Getting Care Quickly scores were lower with higher poverty and racial segregation.
conclusionsEfforts to reduce black-white disparities in patient experiences should focus on areas with low average patient experiences. Attempts to reduce disparities in timely access to health care should target primarily black, low-income, and racially and economically segregated areas. Positive associations of racial segregation with accessing needed care were unexpected.
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Registered trials
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