Quality of life and patient satisfaction: ESRD managed care demonstration

To study the effects of managed care on dialysis patients, we compared the quality of life and patient satisfaction of patients in a managed care demonstration with three comparison samples: fee-for-service (FFS) patients, managed care patients outside the demonstration, and patients in a separate n...

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Bibliographic Details
Published in:Health care financing review 2003-01, Vol.24 (4), p.45-58
Main Authors: Pifer, Trinh B, Bragg-Gresham, Jennifer L, Dykstra, Dawn M, Shapiro, Jennifer R, Oppenheimer, Caitlin Carroll, Gaylin, Daniel S, Beronja, Nancy, Rubin, Robert J, Held, Philip J
Format: Article
Language:English
Subjects:
California
Cardiovascular disease
Case management
Centers for Medicare and Medicaid Services (U.S.)
Chronic illnesses
Comparative analysis
Data collection
Dietary supplements
Dietitians
Enrollments
Fee-for-Service Plans - economics
Fee-for-Service Plans - standards
Female
Florida
Health administration
Health care access
Health Maintenance Organizations - economics
Health Maintenance Organizations - standards
Hemodialysis
Humans
Kidney diseases
Kidney Failure, Chronic - economics
Kidney Failure, Chronic - therapy
Kidneys
Male
Managed care
Medicare - legislation & jurisprudence
Mental health
Middle Aged
Multidisciplinary teams
Outcome and Process Assessment (Health Care)
Patient satisfaction
Patient Satisfaction - statistics & numerical data
Patients
Pilot Projects
Prescription drugs
Primary care
Quality of Life
Questionnaires
Renal Dialysis - economics
Renal Dialysis - standards
Sample size
Social workers
Studies
Transplants & implants
United States
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Description
Summary:To study the effects of managed care on dialysis patients, we compared the quality of life and patient satisfaction of patients in a managed care demonstration with three comparison samples: fee-for-service (FFS) patients, managed care patients outside the demonstration, and patients in a separate national study. Managed care patients were less satisfied than FFS patients about access to health care providers, but more satisfied with the financial benefits (copayment coverage, prescription drugs, and nutritional supplements) provided under the demonstration managed care plan (MCP). After 1 year in the demonstration, patients exhibited statistically and clinically significant increases in quality of life scores.
ISSN:0195-8631
1554-9887