Geographic context of black-white disparities in Medicare CAHPS patient experience measures.

ABSTRACT:

Objective

To 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 design

Mixed-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 findings

Black-white disparities in patient experiences were smaller in counties with higher average patient experiences. Black-white disparities in patient experiences were not associ

SUBMITTER: Fenton AT 

PROVIDER: S-EPMC6341209 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature