Insurance policies and perceived quality of primary care among privately insured patients: do features of managed care widen the racial, ethnic, and language-based gaps?

Medical Care
Irena Stepanikova, Karen S Cook

Abstract

Little is known about whether some features of managed care widen disparities in patients' evaluations of primary care. We investigated whether the magnitudes of racial and ethnic/language-based differences in patients' evaluations of the quality of primary care vary by capitation and gatekeeping. We used a telephone survey of a representative sample of the US noninstitutionalized population, Community Tracking Study Household Survey 1998-1999, and Followback Survey of respondents' insurance administrators. Our sample was privately insured adults who saw a physician at least once during the year preceding the interview and whose last visit was to a primary care physician. We measured patients' evaluations of (1) how well the physician listened, (2) how well the physician explained, and (3) how thorough and careful the physician was during the last visit. Significant white-minority differences emerge more often in plans using capitation or gatekeeping than in other plans. The gaps in patients' evaluations of their primary care providers' (PCP) explanations and thoroughness between whites and Hispanics interviewed in English are larger when the PCP is capitated than when the PCP is not capitated. The gap in the evaluations of the...Continue Reading

References

Jul 1, 1978·Medical Care·R Andersen, L A Aday
Jun 1, 1985·Journal of Health and Social Behavior·H Waitzkin
Dec 1, 1984·American Journal of Public Health·L A Aday, R M Andersen
Jun 1, 1982·Medical Care·E M HooperJ S Goodwin
Dec 1, 1982·Journal of Health and Social Behavior·C E RossR S Duff
Mar 1, 1995·Journal of Health and Social Behavior·R M Andersen
Feb 1, 1995·Social Science & Medicine·P P Groenewegen, J B Hutten
Jan 1, 1993·Health Affairs·L C Baker, J C Cantor
Jan 1, 1996·Health Affairs·S L Isaacs
Dec 1, 1996·Journal of Health and Social Behavior·M H Meyer, E K Pavalko
Apr 30, 1998·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·S A RyanC E Irwin
May 15, 1998·JAMA : the Journal of the American Medical Association·B E LandonP D Cleary
Nov 20, 1998·The New England Journal of Medicine·K GrumbachA B Bindman
Mar 3, 1999·Journal of General Internal Medicine·O CarrasquilloH R Burstin
May 18, 1999·Archives of Internal Medicine·S SahaA B Bindman
Jun 12, 1999·Annals of Internal Medicine·J E CarrilloJ R Betancourt
Jul 27, 1999·Journal of General Internal Medicine·L S MoralesR D Hays
Aug 18, 1999·JAMA : the Journal of the American Medical Association·L Cooper-PatrickD E Ford
Aug 5, 2000·Health Affairs·K A PhillipsL A Aday
Aug 12, 2000·Journal of General Internal Medicine·M LinzerE Rhodes
Nov 25, 2000·Medical Care Research and Review : MCRR·R M WeinickJ W Cohen
Nov 25, 2000·Medical Care Research and Review : MCRR·C Brach, I Fraser
Dec 9, 2000·American Journal of Public Health·L Shi
Dec 15, 2000·Archives of Family Medicine·M P DoescherK Fiscella
Feb 15, 2001·The New England Journal of Medicine·D MechanicM Rosenthal
Mar 7, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R A LoweJ A Berlin
Jun 21, 2001·Journal of Environmental Science and Health. Part A, Toxic/hazardous Substances & Environmental Engineering·I K Yoo, D J Kim
Sep 27, 2001·JAMA : the Journal of the American Medical Association·E C SchneiderA M Epstein
Nov 13, 2001·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·E SchifrinR Kelly
Jan 5, 2002·Journal of Health Economics·A I Balsa, T G McGuire
Apr 4, 2002·Archives of Pediatrics & Adolescent Medicine·Gregory D Stevens, Leiyu Shi
Apr 26, 2002·Journal of General Internal Medicine·Christopher B ForrestJudy Ng
Jun 7, 2002·Applied Occupational and Environmental Hygiene·Patricia StewartAaron Blair
Jun 26, 2003·Health Services Research·Robert Weech-MaldonadoRon D Hays

❮ Previous
Next ❯

Citations

Jun 27, 2006·Medical Care·Shawna V HudsonBenjamin F Crabtree
Mar 29, 2008·Health Services Research·Robert Weech-MaldonadoRon D Hays
Jun 14, 2016·Journal of Racial and Ethnic Health Disparities·Julie Smith-GagenEliseo J Pérez-Stable

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.