Reports and Ratings of Care
Black and White Medicare Enrollees
Published In: Journal of Health Care for the Poor and Underserved, v. 19, no. 4, Nov. 2008, p. 1136-1147
PURPOSE: This study compared African American/Black and White Medicare enrolleesgas perceptions of care. DESIGN AND METHODS: Analyses of the 2002 Consumer Assessment of Healthcare Providers and Systems (CAHPS) 3.0 survey of 101,189 (White) and 8,791 (Black) Medicare enrollees (82% response rate) randomly sampled from 321 health plans, with data collected via mail (84%) and telephone (16%). Multivariate linear regression models were conducted with the CAHPS composites and global ratings as dependent variables, controlling for case-mix variables. RESULTS: Blacks reported significantly (p=.0001, p=.05) worse experiences with getting care quickly, office staff helpfulness, getting needed care, health plan customer service, rating of specialist care, and rating of the health plan (effect sizes ranging from 0.02 to 0.21). However, they reported better provider communication and rated their personal doctors/nurses and health care more positively (effect sizes ranging from 0.02 to 0.09).
Read More
Document Details
- Copyright: Johns Hopkins University Press
- Availability: Non-RAND
- Pages: 12
- Document Number: EP-200811-14
- Year: 2008
- Series: External Publications
This report is part of the RAND Corporation external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.
RAND® is a registered trademark. Copyright © 1994-2013 RAND Corporation.