ArticleJournal of general internal medicine2019
Association of Income Disparities with Patient-Reported Healthcare Experience.
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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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
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- "I Had Bills to Pay": a Mixed-Methods Study on the Role of Income on Care Transitions in a Public-Payer Healthcare System.Journal of general internal medicine · 2023Trial
- Is Sociodemographic Status Associated with Empathic Communication and Decision Quality in Diabetes Care?Journal of general internal medicine · 2022Trial
- Healthcare experiences and the cycle of genomic healthcare disparities: A cross-sectional study utilizing the 'All of Us' research program.Journal of community genetics · 2026Article
- Psychometric properties and constructs of Patient Reported Experience Measures (PREMs) in primary care: a scoping review.BMC primary care · 2026Article
- The Patient Experience Divide: How Income Relates to Care Quality in the Primary Care Setting.Medical care · 2026Article
- Burden of fall-related fracture among postmenopausal women: findings from the global burden of disease study 2021.Aging clinical and experimental research · 2026Article
- Predictors of the use of community mental health services.BMC health services research · 2026Article
- Shared Decision Making Beyond Shared Identity.Journal of general internal medicine · 2026Article
- Income-Based Inequalities in Health System Performance in the US and South Korea.JAMA health forum · 2026Article
- Exploring the Characteristics Associated With Diabetes and Hypertension Performance in Community Health Centers.AJPM focus · 2026Article
- Socioeconomic Factors Impact the Perception of Healthcare Experiences in Patients with Cirrhosis.Digestive diseases and sciences · 2026Article
- Experiences of healthcare services among racial and ethnic groups in the U.S.Preventive medicine reports · 2026Article
- Designing hospitality for health: an emerging approach to public health.Frontiers in public health · 2026Article
- Patient experience with cancer care in low- and middle-income Asian countries: a cross-sectional study of patients with advanced cancer.BMJ global health · 2025Article
- Relationship Between Health Insurance Status and Frequency of Routine Medical Checkups.Cureus · 2025Article
- Regional and patient characteristic disparities in the outcomes of minimally invasive surgery for colorectal cancer in Japan.Annals of gastroenterological surgery · 2025Article
- Sociodemographic predictors of digital health adoption in patients with asthma and COPD.Frontiers in digital health · 2025Article
- Factors influencing the acceptance of medical AI chat assistants among healthcare professionals and patients: a survey-based study in China.Frontiers in public health · 2025Article
- Association of neighborhood level socioeconomic status and patient reported clinical improvement following total shoulder arthroplasty.JSES international · 2025Article
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13 authors.
Funding
Abstract
backgroundDisparities in health outcome exist among patients according to socioeconomic status. However, little is known regarding the differences in healthcare experiences across the various levels of income of patients. In a nationally representative US adult population, we evaluate the differences in healthcare experiences based on patient level of income.
objectivesTo evaluate the differences in patient healthcare experiences based on level of income. PATIENTS AND
methodsWe identified 68,447 individuals (mean age, 48 ± 18 years; 55% female) representing 176.8 million US adults, who had an established healthcare provider in the 2010-2013 Medical Expenditure Panel Survey cohort. This retrospective study examined the differences in all five patient-reported healthcare experience measures (access to care, provider responsiveness, patient-provider communication, shared decision-making, and patient satisfaction) under the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. We examined the relationship between patient income and their healthcare experience.
resultsOverall, 32% of the study participants were high-income earners while 23% had very-low income. Lower income was consistently associated with poor patient report on healthcare experience. Compared with those with high income, very-low-income-earning participants had 1.63 times greater odds (OR 1.63, 95% CI 1.45-1.82) of experiencing difficulty accessing care, had 1.34 times higher odds (OR 1.34, 95% CI 1.25-1.45) of experiencing poor communication, had higher odds (OR 1.68, 95% CI 1.46-1.92) of experiencing delays in healthcare delivery, and were more likely to report poor provider satisfaction (OR 1.48, 95% CI 1.37-1.61).
conclusionLower income-earning patients have poorer healthcare experience in all aspects of access and quality of care. Targeted policies focusing on improving communication, engagement, and satisfaction are needed to enhance patient healthcare experience for this vulnerable population.
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