Michael T Halpern1,2, Matthew P Urato1, Erin E Kent3. 1. RTI International, Research Triangle Park, North Carolina. 2. Department of Health Services Administration and Policy, Temple University College of Public Health, Philadelphia, Pennsylvania. 3. Outcomes Research Branch, Healthcare Delivery Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland.
Abstract
BACKGROUND: Providing high-quality medical care for individuals with cancer during their last year of life involves a range of challenges. An important component of high-quality care during this critical period is ensuring optimal patient satisfaction. The objective of the current study was to assess factors influencing health care ratings among individuals with cancer within 1 year before death. METHODS: The current study used the Surveillance, Epidemiology, and End Results (SEER)-Consumer Assessment of Healthcare Providers and Systems (CAHPS) data set, a new data resource linking patient-reported information from the CAHPS Medicare Survey with clinical information from the National Cancer Institute's SEER program. The study included 5102 Medicare beneficiaries diagnosed with cancer who completed CAHPS between 1998 and 2011 within 1 year before their death. Multivariable logistic regression analyses examined associations between patient demographic and insurance characteristics with 9 measures of health care experience. RESULTS: Patients with higher general or mental health status were significantly more likely to indicate excellent experience with nearly all measures examined. Sex, race/ethnicity, and education also were found to be significant predictors for certain ratings. Greater time before death predicted an increased likelihood of higher ratings for health plan and specialist physician. Clinical characteristics were found to have few significant associations with experience of care. Individuals in fee-for-service Medicare plans (vs Medicare Advantage) had a greater likelihood of excellent experience with health plans, getting care quickly, and getting needed care. CONCLUSIONS: Among patients with cancer within 1 year before death, experience with health plans, physicians, and medical care were found to be associated with sociodemographic, insurance, and clinical characteristics. These findings provide guidance for the development of programs to improve the experience of care among individuals with cancer. Cancer 2017;123:336-344.
BACKGROUND: Providing high-quality medical care for individuals with cancer during their last year of life involves a range of challenges. An important component of high-quality care during this critical period is ensuring optimal patient satisfaction. The objective of the current study was to assess factors influencing health care ratings among individuals with cancer within 1 year before death. METHODS: The current study used the Surveillance, Epidemiology, and End Results (SEER)-Consumer Assessment of Healthcare Providers and Systems (CAHPS) data set, a new data resource linking patient-reported information from the CAHPS Medicare Survey with clinical information from the National Cancer Institute's SEER program. The study included 5102 Medicare beneficiaries diagnosed with cancer who completed CAHPS between 1998 and 2011 within 1 year before their death. Multivariable logistic regression analyses examined associations between patient demographic and insurance characteristics with 9 measures of health care experience. RESULTS:Patients with higher general or mental health status were significantly more likely to indicate excellent experience with nearly all measures examined. Sex, race/ethnicity, and education also were found to be significant predictors for certain ratings. Greater time before death predicted an increased likelihood of higher ratings for health plan and specialist physician. Clinical characteristics were found to have few significant associations with experience of care. Individuals in fee-for-service Medicare plans (vs Medicare Advantage) had a greater likelihood of excellent experience with health plans, getting care quickly, and getting needed care. CONCLUSIONS: Among patients with cancer within 1 year before death, experience with health plans, physicians, and medical care were found to be associated with sociodemographic, insurance, and clinical characteristics. These findings provide guidance for the development of programs to improve the experience of care among individuals with cancer. Cancer 2017;123:336-344.
Keywords:
Consumer Assessment of Healthcare Providers and Systems (CAHPS); Epidemiology; Medicare; Surveillance; and End Results (SEER); cancer; patient satisfaction; surveys
Authors: Lisa M Lines; Julia Cohen; Michael T Halpern; Ashley Wilder Smith; Erin E Kent Journal: Cancer Causes Control Date: 2019-08-17 Impact factor: 2.506
Authors: Lisa S Callegari; Siobhan S Mahorter; Sam K Benson; Xinhua Zhao; Eleanor Bimla Schwarz; Sonya Borrero Journal: J Gen Intern Med Date: 2022-08-30 Impact factor: 6.473
Authors: Cleo A Samuel-Ryals; Olive M Mbah; Sharon Peacock Hinton; Sarah H Cross; Bryce B Reeve; Stacie B Dusetzina Journal: J Gen Intern Med Date: 2021-05-07 Impact factor: 5.128
Authors: Lisa M Lines; Julia Cohen; Justin Kirschner; Daniel H Barch; Michael T Halpern; Erin E Kent; Michelle A Mollica; Ashley Wilder Smith Journal: J Geriatr Oncol Date: 2022-03-07 Impact factor: 3.929
Authors: Alex Fauer; Lauren P Wallner; Matthew A Davis; Sung Won Choi; Christopher R Friese Journal: J Geriatr Oncol Date: 2020-09-20 Impact factor: 3.599
Authors: Alex Fauer; Sung Won Choi; Lauren P Wallner; Matthew A Davis; Christopher R Friese Journal: Cancer Causes Control Date: 2021-02-10 Impact factor: 2.506