Patient-Physician Communication Experience Modifies Racial/Ethnic Health Care Disparities Among Surveillance, Epidemiology, and End Results-Consumer Assessment of Healthcare Providers and Systems Participants With Colorectal Cancer and Multiple Chronic Conditions
Datos Bibliográficos
PURPOSE: After cancer diagnosis, non-White patients and those with multimorbidity use less primary care and more acute care than non-Hispanic White (NHW) patients and those lacking comorbidities. Yet, positive patient experiences with physician communication (PC) are associated with more appropriate health care use. In a multimorbid cohort, we measured associations between PC experience, race and ethnicity, and health care use following colorectal cancer (CRC) diagnosis. PARTICIPANTS AND METHODS: We identified 2606 participants using Surveillance, Epidemiology, and End Results (SEER)-Consumer Assessment of Health Care Providers and Systems (CAHPS) data who were diagnosed with CRC from 2001 to 2017 with pre-existing chronic conditions. Self-reported PC experiences were derived from Medicare CAHPS surveys. Chronic condition care, emergency department, and hospital use following CRC diagnosis were identified from Medicare claims. Simple survey-weighted multivariable logistic regression stratified by experiences with care analyzed associations between race and ethnicity and health care use. RESULTS: Among patients reporting excellent PC experience, non-Hispanic Black (NHB), Hispanic, and non-Hispanic Asian (NHA) patients were more likely to use sufficient chronic condition care than NHW patients (NHB: OR=1.48, 99.38% CI=1.38-1.58; Hispanic: OR=1.34, 99.38% CI=1.26-1.42; NHA: OR=2.31, 99.38% CI=2.12-2.51). NHB and NHA patients were less likely than NHW patients to visit the emergency department when reporting excellent PC experience (NHB: OR=0.66, 99.38% CI=0.63-0.69; NHA: OR=0.67, 99.38% CI=0.64-0.71). Among patients reporting excellent PC, NHB, Hispanic, and NHA patients were less likely than NHW patients to be hospitalized (NHB: OR=0.93, 99.38% CI=0.87-0.99; Hispanic: OR=0.93, 99.38% CI=0.87-0.99; NHA: OR=0.20, 99.38% CI=0.19-0.22). CONCLUSION: Improving patient experiences with PC, particularly among older racial and ethnic minority cancer survivors with chronic conditions, may help reduce disparities in adverse healthcare use following CRC diagnosis
Cancer · Colorectal cancer · Ethnic group · Family medicine · Health care · Health equity · Healthcare system · MEDLINE · Public health · Epidemiology · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare
Racial/Ethnic and Gender Disparities in Health Care Use and Access
Prevalence of Multiple Chronic Conditions Among US Adults, 2018
Examining the Role of Patient Experience Surveys in Measuring Health Care Quality
Contribution of Primary Care to Health Systems and Health
“Nobody Will Tell You. You’ve Got to Ask!”
Team-Based Primary Care Practice Transformation Initiative and Changes in Patient Experience and Recommended Cancer Screening Rates
Racial/Ethnic Disparities in Health Care Receipt Among Male Cancer Survivors
Psychometric Properties of the CAHPSTM 1.0 Survey Measures
Will Improvements in Patient Experience With Care Impact Clinical and Quality of Care Outcomes
Can Hospital Cultural Competency Reduce Disparities in Patient Experiences With Care
Racial/Ethnic Disparities in Patient Experiences With Health Care in Association With Earlier Stage at Colorectal Cancer Diagnosis
Revisiting the Behavioral Model and Access to Medical Care
Healthcare Experiences Are Associated with Colorectal Cancer Mortality but only for Specific Racial Groups
| Obras citantes distintas | 1 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 2026 - 2026 (1) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 1 |