How Do African American Men Rate Their Health Care? An Analysis of the Consumer Assessment of Health Plans 2003-2006

Elder, Keith; Meret-Hanke, Louise; Dean, Caress; Wiltshire, Jacqueline; Gilbert, Keon L.; Wang, Jing; Shacham, Enbal; Barnidge, Ellen; Baker, Elizabeth A.; Wray, Ricardo J.; Rice, Stephen K.; Johns, Marquisha; Moore, Tondra

doi:10.1177/1557988314532824

Cited by 5 publications

(17 citation statements)

References 41 publications

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“…2). A total of 19 articles met our inclusion criteria: 10 studying clinical outcomes of care19–28 and 9 studying quality outcomes of care 29–37…”

Section: Resultsmentioning

confidence: 99%

“…Statistically significant findings of studies examining associations of CAHPS ratings with quality outcomes are summarized in Table 3. We identified 9 studies investigating quality outcomes and 8 found significant associations 29,31–37. Studies examining quality outcomes were completed between 2001 and 2019 and were a combination of cross-sectional (n=7)29,32–37 and prospective cohort (n=2) 30,31.…”

Section: Resultsmentioning

confidence: 99%

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Will Improvements in Patient Experience With Care Impact Clinical and Quality of Care Outcomes?

et al. 2021

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Background: Patient experiences with health care have been widely used as benchmark indicators of quality for providers, health care practices, and health plans.Objective: The objective of this study was to summarize the literature regarding the associations between Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient experiences and clinical and quality outcomes.Research Design: A systematic review of the literature was completed using PubMed, Embase, and Cumulative Index to Nursing and Allied Health Literature on December 14, 2019. Separate searches were conducted to query terms identifying CAHPS surveys with clinical and quality outcomes of care. Two reviewers completed all components of the search process.Study Selection: Studies investigating associations between CAHPS composite ratings and health care sensitive clinical outcomes or quality measures of care were included in this review. Studies were excluded if they did not investigate patient experiences using CAHPS composite ratings or if CAHPS composites were not treated as the independent variable.Results: Nineteen studies met inclusion criteria, 10 investigating associations of CAHPS composite ratings with clinical outcomes and 9 investigating these associations with quality measures. Patientprovider communication was the most studied CAHPS composite rating and was significantly associated with self-reported physical and mental health, frequency of emergency room visits and inpatient hospital stays, hospitalization length, and CAHPS personal physician global ratings.Conclusions: Ratings of patient experience with care may influence clinical and quality outcomes of care. However, key inconsistencies between studies affirm that more research is needed to solidify this conclusion and investigate how patient experiences differentially relate to outcomes for various patient groups.

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“…2). A total of 19 articles met our inclusion criteria: 10 studying clinical outcomes of care19–28 and 9 studying quality outcomes of care 29–37…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Will Improvements in Patient Experience With Care Impact Clinical and Quality of Care Outcomes?

et al. 2021

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“…Other research has suggested gender differences in the role of religious involvement in alcohol use in African Americans (Bowie et al, 2006). Findings around gender differences could have implications for health promotion interventions, particularly given that African American men remain one of the most medically underserved and understudied groups (Elder et al, 2014). It is important to gain insights on the role of religion in the health of African Americans (Ellison et al, 2010) and to apply these insights to health-promotion interventions in this often-overlooked group.…”

Section: Present Studymentioning

confidence: 99%

Gender Differences in the Roles of Religion and Locus of Control on Alcohol Use and Smoking Among African Americans

Holt

Roth

Huang

et al. 2015

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Spiritual health locus of control reflects a person's beliefs about the role of a higher power in one's health and can take an active or a passive perspective. The purpose of this study was to examine the moderating role of active and passive spiritual health locus of control beliefs on select health risk behaviors-alcohol use and smoking-in a national sample of African Americans. Method: A national U.S. probability sample of study participants (N = 2,370; 906 men; 1,464 women) completed a telephone survey assessing religious involvement, active and passive spiritual health locus of control beliefs, and alcohol consumption and smoking status. Because of previous research suggesting gender-specific associations among these variables, moderation analyses were conducted separately for men and women. Results: For women, higher religious behaviors were associated with less alcohol use, and this effect was more pronounced among those high in active spiritual health locus of control. For men, the combination of lower religious beliefs and higher passive spiritual health locus of control was associated with more alcohol consumption and more days of consuming five or more alcoholic drinks. No moderation effects were found for smoking. Conclusions: This study identified unique patterns of religious involvement and spiritual health locus of control beliefs that are associated with alcohol use, including heavy drinking, among African Americans. These findings have implications for pastoral counseling and other faith-based approaches for addressing heavy drinking in African Americans. (J. Stud. Alcohol Drugs, 76, 482-492, 2015)

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“…Men’s health is a relatively new research area; however, substantial strides have been made to advance the science in terms of health behaviors, health status, and interaction with the health-care system ( Elder et al, 2015 ; Gilbert et al., 2015 ; Griffith, Bergner, et al, 2018 ; Griffith, Cornish, et al, 2018 ; Mui et al, 2018 ; Sohn et al, 2017 ; Thorpe et al, 2017 ; Valdez et al, 2019 ). Overall, the life expectancy for men in the United States has shown positive trends since 1980 increasing by 6 years to 76.4 ( National Center for Health Statistics, 2018 ).…”

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confidence: 99%

“…The uninsured rate has declined since 2010 for nonelderly women and men from 19% to 24%, respectively; however, the uninsured rate for men (14%) remains higher compared to women (11%) ( Kaiser Family Foundation, 2020 ). This is of some importance as health insurance is a predictor of health status and the health of men tends to be poor ( Elder & Griffith, 2016 ; Elder et al, 2015 ; Gilbert et al, 2016 ). Even with the decrease in uninsured rates among men, one in five men aged 18–64 years experience difficulty in paying medical bills ( Kaiser’s Men’s Health Survey, 2015 ).…”

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confidence: 99%

Confidence in Understanding Health Insurance and Challenges Paying Medical Bills Among Men in the United States

et al. 2020

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Although the number of men with health insurance has increased, men are less likely to utilize health services than females, and experience difficulty in paying medical bills. Understanding the details of health insurance can be challenging and the lack of understanding can have financial consequences. This study, guided by Andersen’s model of health-care utilization, assessed the relationship between confidence level in understanding health insurance terms and difficulty in paying medical bills among American men. Data were drawn from the Health Reform Monitoring Survey, 2015–2016. The study included 6,643 men aged between 18 and 64. Descriptive statistics examined participants’ difficulty in paying medical bills by predisposing, enabling, and need characteristics, and by confidence in understanding health insurance terms. A modified Poisson regression analysis examined the association between difficulty in paying medical bills, confidence in understanding health insurance terms score, and predisposing, enabling, and need characteristics. An increase in confidence in understanding health insurance terms score was associated with significantly lower reported difficulty in paying medical bills (PR = .98; 95% CI = [.97–.99]; p = .002). Participants with a college degree or higher were less likely to report difficulty in paying their medical bills compared to participants with less than a high school degree (PR = .72; 95% CI = [.56–.92]; p = .009). A better understanding of health insurance might prevent men from experiencing difficulties in paying medical bills. Additional research should be performed to understand the relationship between the level of confidence in understanding health insurance, knowledge level of health insurance terms, use of health insurance, and their impact on difficulty in paying medical bills.

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How Do African American Men Rate Their Health Care? An Analysis of the Consumer Assessment of Health Plans 2003-2006

Cited by 5 publications

References 41 publications

Will Improvements in Patient Experience With Care Impact Clinical and Quality of Care Outcomes?

Will Improvements in Patient Experience With Care Impact Clinical and Quality of Care Outcomes?

Gender Differences in the Roles of Religion and Locus of Control on Alcohol Use and Smoking Among African Americans

Confidence in Understanding Health Insurance and Challenges Paying Medical Bills Among Men in the United States

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