Evidence map›Paper›PMID 33569775›Full record

ArticleHealth services research2021

Differences in patient perceptions of integrated care among black, hispanic, and white Medicare beneficiaries.

Emilia J Ling, Molly Frean, Jody So, Maike Tietschert, Nancy Song, Christian Covington, Hassina Bahadurazada, Sonia Khurana, Luis Garcia, Sara J Singer

Abstract read
In one paragraph

Article in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

10 authors.

Emilia J LingStanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-1300-4903
Molly FreanThe Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-5770-4266
Jody SoStanford University School of Medicine, Stanford, California, USA.
Maike TietschertStanford University School of Medicine, Stanford, California, USA.
Nancy SongStanford University School of Medicine, Stanford, California, USA.
Christian CovingtonStanford University School of Medicine, Stanford, California, USA.
Hassina BahadurazadaStanford University School of Medicine, Stanford, California, USA.
Sonia KhuranaDepartment of Humanities, Yale University, New Haven, Connecticut, USA.
Luis GarciaStanford University School of Medicine, Stanford, California, USA.
Sara J SingerStanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-3374-1177

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study sought to identify potential disparities among racial/ethnic groups in patient perceptions of integrated care (PPIC) and to explore how methodological differences may influence measured disparities. DATA SOURCE: Data from Medicare beneficiaries who completed the 2015 Medicare Current Beneficiary Survey (MCBS) and were enrolled in Part A benefits for an entire year. STUDY

designWe used 4-point measures of eight dimensions of PPIC and assessed differences in dimensions among racial/ethnic groups. To estimate differences, we applied a "rank and replace" method using multiple regression models in three steps, balancing differences in health status among racial groups and adjusting for differences in socioeconomic status. We reran all analyses with additional SES controls and using standard multiple variable regression. DATA COLLECTION/EXTRACTION

methodsNot applicable. PRINCIPAL

findingsWe found several significant differences in perceived integrated care between Black versus White (three of eight measures) and Hispanic versus White (one of eight) Medicare beneficiaries. On average, Black beneficiaries perceived more integrated support for self-care than did White beneficiaries (mean difference = 0.14, SE = 0.06, P =.02). Black beneficiaries perceived more integrated specialists' knowledge of past medical history than did White beneficiaries (mean difference = 0.12, SE = 0.06, P =.01). Black and Hispanic beneficiaries also each reported, on average, 0.18 more integrated medication and home health management than did White beneficiaries (P <.01 and P <.01). These findings were robust to sensitivity analyses and model specifications.

conclusionsThere exist some aspects of care for which Black and Hispanic beneficiaries may perceive greater integrated care than non-Hispanic White beneficiaries. Further studies should test theories explaining why racial/ethnic groups perceive differences in integrated care.

Indexed as

AgedAged, 80 and overBlack or African AmericanFemaleHealth StatusHispanic or LatinoHumansMaleMedicarePatient-Centered CareRacial GroupsSocioeconomic FactorsUnited StatesWhite Peopleintegrated delivery systemsMedicarepatient assessment/satisfactionracial/ethnic differences in health and health care

Identifiers

PMID33569775
PMCPMC8143676

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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.