Are there differences in the medicare experiences of beneficiaries in Puerto Rico compared with those in the U.S. mainland?

Medical Care

Volumn 50, Issue 3, 2012, Pages 243-248

  Elliott, Marc N ^a   Haviland, Amelia M ^a   Dembosky, Jacob W ^a   Hambarsoomian, Katrin ^a   Weech Maldonado, Robert ^b  

^a RAND CORPORATION   (United States)

^b UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

Author keywords

CAHPS; health disparities; Hispanic health; immunization; Medicare

Indexed keywords

AGED; ARTICLE; DOCTOR PATIENT RELATION; FEMALE; FUNDING; GERIATRIC PATIENT; HEALTH CARE AVAILABILITY; HEALTH CARE DELIVERY; HEALTH CARE DISPARITY; HEALTH CARE UTILIZATION; HEALTH SERVICE; HEALTH SURVEY; HISPANIC; HUMAN; IMMUNIZATION; INFORMATION TECHNOLOGY; LINEAR REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MEDICARE; PATIENT COMPLIANCE; PATIENT EDUCATION; PATIENT SATISFACTION; PRIORITY JOURNAL; PUERTO RICO; SCORING SYSTEM; UNITED STATES;

AGED; AGED, 80 AND OVER; FEMALE; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HUMANS; IMMUNIZATION; MALE; MEDICARE; PATIENT SATISFACTION; PUERTO RICO; UNITED STATES;

EID: 84857623635     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3182408027     Document Type: Article

References (38)

1. Health Care Financing Administration. Medicare and Medicaid Statistical Supplement. 2008. Available at: http://www.cms.hhs.gov/MedicareMedicaidStatSupp/ (Accessed April 9, 2010).
2. McBean AM, Bubolz TA, Conde JG, Barosso GM. Use of Medicare services by elderly residents of Puerto Rico. P R Health Sci J. 2003;22:111-118.
3. Centers for Disease Control and Prevention. Infant Health Among Puerto Ricans-Puerto Rico and U. S. Mainland, 1989-2000. MMWR Morb Mortal Wkly Rep. 2003;52:1012-1016.
4. Centers for Disease Control and Prevention. Rates of cesarean delivery among Puerto Rican Women-Puerto Rico and the U. S. mainland, 1992-2002. MMWR Morb Mortal Wkly Rep. 2006;55:68-71.
5. Comisión para evaluar el sistema de salud del estado libre asociado de Puerto Rico. Evaluación del sistema de salud de Puerto Rico. Report to the Governor of Puerto Rico. San Juan, Puerto Rico; 2005.
6. Puerto Rico Federal Affairs Admnistration. News & Media. 2010. Available at: http://www.prfaa.com/news/?tag=health-care (Accessed April 9, 2010).
7. Cortes JP. Island parity. Puerto Rico needs full payments from federal programs. Mod Healthc. 2009;39:21.
8. U. S. Congress. U. S. Social Security Act, 42 U. S. C. 1395ww (3) (9) (E). 2006.
9. Obama for America. Barack Obama: Improving health care in Puerto Rico. 2008. Available at: http://obama.3cdn. net/a4d25897d9b8a6f03c-8raimvfo5.pdf (Accessed April 9, 2010).
10. 111th Congress. Puerto Rico Medicare reimbursement equity act of 2009. HR 1501. 2009-2010. http://www.govtrack.us/congress/bill.xpd?bill=h111-1501.
11. Balluz L, Ahluwalia IB, Murphy W, et al. Surveillance for certain health behaviors among selected local areas-United States, Behavioral Risk Factor Surveillance System, 2002. MMWR Surveill Summ. 2004;53:1-100.
12. Jencks SF, Cuerdon T, Burwen DR, et al. Quality of medical care delivered to Medicare beneficiaries: a profile at state and national levels. JAMA. 2000;284:1670-1676.
13. Weech-Maldonado RW, Elliott MN, Oluwole T, et al. Survey response style and differential use of CAHPS rating scales by Hispanics. Med Care. 2008;46:963-968.
14. Martino SC, Elliott MN, Cleary PD, et al. Psychometric properties of an instrument to assess Medicare beneficiaries' prescription drug plan experiences. Health Care Financ Rev. 2009;30:41-53.
15. Goldstein E, Cleary PD, Langwell KM, et al. Medicare managed care CAHPS: a tool for performance improvement. Health Care Financing Review. 2001;22:101-107.
16. Centers for Medicare & Medicaid Services. Consumer Assessment of Health Providers & Systems Overview. 2011. Available at: http://www.cms.gov/CAHPS/(Accessed January 19, 2011).
17. Harkness J, Pennell B-E, Schoua-Glusberg A. A survey questionnaire translation and assessment. In: Presser S, Rothgeb JM, Couper MP, et al, eds. Methods for Testing and Evaluating Survey Questionnaires. Hoboken, New Jersey: John Wiley & Sons, Inc; 2004.
18. Weidmer B, Hurtado M, Weech-Maldonado R, et al. Guidelines for translating CAHPS surveys. 2009. Available at: http://www.cahps.ahrq. gov/content/resources/pdf/Guidelines-Translation.htm#-ftnref1 (Accessed April 9, 2010).
19. Elliott MN, Haviland AM, Kanouse DE, et al. Adjusting for subgroup differences in extreme response tendency when rating health care: Impact on disparity estimates. Health Serv Res. 2009;44:542-561.
20. Weech-Maldonado R, Fongwa MN, Gutierrez P, et al. Language and regional differences in evaluations of Medicare managed care by Hispanics. Health Serv Res. 2008;43:552-568.
21. Marshall GN, Morales LS, Elliott M, et al. Confirmatory factor analysis of the Consumer Assessment of Health Plans Study (CAHPS) 1.0 Core Survey. Psychol Assess. 2001;13:216-229.
22. Hurtado MP, Angeles J, Blahut SA, et al. Assessment of the equivalence of the Spanish and English versions of the CAHPS Hospital Survey on the quality of inpatient care. Health Serv Res. 2005;40:2140-2161.
23. Weinick RM, Elliott MN, Volandes AE, et al. Using standardized encounters to understand reported racial/ethnic disparities in patient experiences with care. Health Serv Res. 2011;46:491-509.
24. Salisbury C, Wallace M, Montgomery AA. Patients' experience and satisfaction in primary care: secondary analysis using multilevel modelling. BMJ. 2010;341c5004.
25. Weech-Maldonado R, Morales LS, Elliott M, et al. Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. Health Serv Res. 2003;38:789-808.
26. O'Malley AJ, Zaslavsky AM, Elliott MN, et al. Case-mix adjustment of the CAHPS Hospital Survey. Health Serv Res. 2005;40:2162-2181.
27. Elliott MN, Zaslavsky AM, Goldstein E, et al. Effects of survey mode, patient mix, and nonresponse on CAHPS hospital survey scores. Health Serv Res. 2009;44:501-518.
28. Elliott MN, Beckett MK, Chong K, et al. How do proxy responses and proxy-assisted responses differ from what Medicare beneficiaries might have reported about their health care? Health Serv Res. 2008;43:833-848.
29. Heller A, Elliott MN, Haviland AM, et al. Patient activation status as a predictor of patient experience among Medicare beneficiaries. Med Care. 2009;47:850-857.
30. Elliott MN, Swartz R, Adams J, et al. Consumer evaluations of health plans and health care providers-case mix adjustment of the National CAHPS Benchmarking Data 1.0: a violation of assumptions? Health Serv Res. 2001;36:555-574.
31. Landon BE, Zaslavsky AM, Bernard SL, et al. Comparison of performance of traditional Medicare vs. Medicare managed care. JAMA. 2004;281:1744-1752.
32. Haviland AM, Zaslavsky AM, Elliott MN, et al. Medicare CAHPS technical report. Santa Monica, CA: RAND Corporation, 2011;2007. http://www.rand.org/pubs/ technical-reports/TR659.
33. Weech-Maldonado R, Elliott MN, Morales LS, et al. Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities. J Gen Intern Med. 2004;19:136-145.
34. Morales LS, Elliott MN, Weech-Maldonado R, et al. Differences in CAHPS adult survey reports and ratings by race and ethnicity: an analysis of the National CAHPS benchmarking data 1.0. Health Serv Res. 2001;36:595-617.
35. Goldstein E, Elliott MN, Lehrman WG, et al. Racial/ethnic differences in patients' perceptions of inpatient care using the HCAHPS survey. Med Care Res Rev. 2010;67:74-92.
36. Lied TR, Sheingold SH, Landon BE, et al. Beneficiary reported experience and voluntary disenrollment in medicare managed care. Health Care Financing Rev. 2003;25:55-66.
37. Haviland AM, Elliott MN, Hambarsoomian K, et al. Immunization disparities by Hispanic ethnicity and language preference. Arch Intern Med. 2011;171:158-165.
38. Rodríguez-Vigil E, Kianes-Pérez Z. Quality of care provided to patients with diabetes mellitus in Puerto Rico; managed care versus fee-forservice experience. Endocr Pract. 2005;11:376-381.