Trends in the quality of care and racial disparities in medicare managed care

New England Journal of Medicine

Volumn 353, Issue 7, 2005, Pages 692-700

  Trivedi, Amal N ^a,b   Zaslavsky, Alan M ^b   Schneider, Eric C ^a,c   Ayanian, John Z ^a,b,c  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BLOOD GLUCOSE MONITORING; CARDIOVASCULAR DISEASE; CHOLESTEROL BLOOD LEVEL; COMPARATIVE STUDY; HEALTH CARE QUALITY; HUMAN; MANAGED CARE; MEDICAID; MEDICARE; PRIORITY JOURNAL; RACE DIFFERENCE; SOCIAL CLASS; AGED; BREAST TUMOR; CAUCASIAN; DIABETES MELLITUS; EMPIRICAL APPROACH; ETHNOLOGY; FEMALE; HEALTH CARE AND PUBLIC HEALTH; HEALTH CARE DELIVERY; HEALTH INSURANCE; HEART INFARCTION; MALE; NEGRO; SOCIOECONOMICS; STANDARD; STATISTICAL MODEL; TREATMENT OUTCOME; UNITED STATES;

EMPIRICAL APPROACH; HEALTH CARE AND PUBLIC HEALTH;

AFRICAN CONTINENTAL ANCESTRY GROUP; AGED; BREAST NEOPLASMS; DIABETES MELLITUS; EUROPEAN CONTINENTAL ANCESTRY GROUP; FEMALE; HEALTH SERVICES ACCESSIBILITY; HUMANS; LINEAR MODELS; MALE; MANAGED CARE PROGRAMS; MEDICARE; MYOCARDIAL INFARCTION; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); QUALITY INDICATORS, HEALTH CARE; QUALITY OF HEALTH CARE; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 23844458003     PISSN: 00284793     EISSN: None     Source Type: Journal    
DOI: 10.1056/NEJMsa051207     Document Type: Article

References (35)

1. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, D.C.: National Academy Press, 2001.
2. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med 2003;348:2635-45.
3. Jencks SF, Cuerdon T, Burwen DR, et al. Quality of care delivered to Medicare beneficiaries: a profile at state and national levels. JAMA 2000;284:1670-6.
4. Smedley BD, Stith AY, Nelson AR, eds. Unequal treatment: confronting racial and ethnic disparities in health care. Washington, D.C.: National Academy Press, 2003.
5. Ayanian JZ, Weissman JS, Chasan-Taber S, Epstein AM. Quality of care by race and gender for congestive heart failure and pneumonia. Med Care 1999;37:1260-9.
6. Schneider EC, Zaslavsky AM, Epstein AM. Racial disparities in the quality of care for enrollees in Medicare managed care. JAMA 2002;287:1288-94.
7. Schneider EC, Cleary PD, Zaslavsky AM, Epstein AM. Racial disparity in influenza vaccination: does managed care narrow the gap between African Americans and whites? JAMA 2001;286:1455-60.
8. Virnig BA, Lurie N, Huang Z, Musgrave D, McBean AM, Dowd B. Racial variation in quality of care among Medicare + Choice enrollees. Health Aff (Millwood) 2002;21(6):224-30.
9. Fiscella K, Franks P, Gold MR, Clancy CM. Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care. JAMA 2000;283:2579-84.
10. Jencks SF, Huff ED, Cuerdon T. Change in the quality of care delivered to Medicare beneficiaries, 1998-1999 to 2000-2001. JAMA 2003;289:305-12. [Erratum, JAMA 2003;289:2649.]
11. Lied TR, Sheingold S. HEDIS performance trends in Medicare managed care. Health Care Financ Rev 2001;23:149-60.
12. Jha AK, Perlin JB, Kizer KW, Dudley RA. Effect of the transformation of the Veterans Affairs health care system on the quality of care. N Engl J Med 2003;348:2218-27.
13. Sehgal AR. Impact of quality improvement efforts on race and sex disparities in hemodialysis. JAMA 2003;289:996-1000.
14. Baker LC, Hopkins D, Dixon R, Rideout J, Geppert J. Do health plans influence quality of care? Int J Qual Health Care 2004;16:19-30.
15. Zaslavsky AM, Ayanian JZ. Integrating research on racial and ethnic disparities in health care over place and time. Med Care 2005;43:303-7.
16. Health Care Financing Administration. Medicare HEDIS3.0/1998 data audit report. (Accessed July 22, 2005, at http://permanent.access.gpo.gov/websites/ www.hcfa.gov/quality/3i2.htm.)
17. Arday SL, Arday DR, Monroe S, Zhang J. HCFA's racial and ethnic data: current accuracy and recent improvements. Health Care Financ Rev 2000;21:107-16.
18. Federman AD, Adams AS, Ross-Degnan D, Soumerai SB, Ayanian JZ. Supplemental insurance and use of effective cardiovascular drugs among elderly Medicare beneficiaries with coronary heart disease. JAMA 2001;286:1732-9.
19. Persell SD, Maviglia SM, Bates DW, Ayanian JZ. Ambulatory hypercholesterolemia management in patients with atherosclerosis: gender and race differences in processes and outcomes. J Gen Intern Med 2005;20:123-30.
20. Kiefe CI, Allison JJ, Williams OD, Person SD, Weaver MT, Weissman NW. Improving quality improvement using achievable benchmarks for physician feedback: a randomized controlled trial. JAMA 2001;285:2871-9.
21. Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA 1998;280:1311-6.
22. Grimshaw J, McAuley LM, Bero LA, et al. Systematic reviews of the effectiveness of quality improvement strategies and programmes. Qual Saf Health Care 2003;12:298-303.
23. Weingarten SR, Henning JM, Badamgarav E, et al. Interventions used in disease management programmes for patients with chronic illness - which ones work? Metaanalysis of published reports. BMJ 2002;325:925-33.
24. Weiner M, Callahan CM, Tierney WM, et al. Using information technology to improve the health care of older adults. Ann Intern Med 2003;139:430-6.
25. America's Health Insurance Plans and The Robert Wood Johnson Foundation. Collection of racial and ethnic data by health plans to address disparities: final summary report. (Accessed July 22, 2005, at http://www.rwjf.org/files/ research/080504AHIPFinalSummary.pdf.)
26. Hassett P. Taking on racial and ethnic disparities in health care: the experience at Aetna. Health Aff (Millwood) 2005;24(2):417-20.
27. Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, § 1852.
28. McCormick D, Himmelstein DU, Woolhandler S, Wolfe SM, Bor DH. Relationship between low quality-of-care scores and HMOs' subsequent public disclosure of quality-of-care scores. JAMA 2002;288:1484-90.
29. DeLaet DE, Shea S, Carrasquillo O. Receipt of preventive services among privately insured minorities in managed care versus fee-for-service insurance plans. J Gen Intern Med 2002;17:451-7.
30. Bach PB, Pham HH, Schrag D, Tate RC, Hargraves JL. Primary care physicians who treat blacks and whites. N Engl J Med 2004;351:575-84.
31. Bradley EH, Herrin J, Wang Y, et al. Racial and ethnic differences in time to acute reperfusion therapy for patients hospitalized with myocardial infarction. JAMA 2004;292:1563-72.
32. Ayanian JZ, Landrum MB, McNeil BJ. Use of cholesterol-lowering therapy by elderly adults after myocardial infarction. Arch Intern Med 2002;162:1013-9.
33. Persell SD, Keating NL, Landrum MB, et al. Relationship of diabetes-specific knowledge to self-management activities, ambulatory preventive care, and metabolic outcomes. Prev Med 2004;39:746-52.
34. Ver Ploeg M, Perrin E, eds. Eliminating health disparities: measurement and data needs. Washington, D.C.: National Academies Press, 2004.
35. Zaslavsky AM, Hochheimer JN, Schneider EC, et al. Impact of sociodemographic case mix on the HEDIS measures of health plan quality. Med Care 2000;38:981-92.