Advice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65+. (8th April 2016)

• Record Type: Journal Article
• Authors: Winpenny, Eleanor; Elliott, Marc N.; Haas, Ann; Haviland, Amelia M.; Orr, Nate; Shadel, William G.; Ma, Sai; Friedberg, Mark W.; Cleary, Paul D.
• Is Part Of: Health services research. Volume 52:Number 1(2017:Feb.)
• Page Start: 207
• Page End: 219
• Publication Date: 2016-04-08
• Subjects: Survey research and questionnaire design -- clinical practice -- incentives in health care -- Medicare -- patient assessment/satisfaction -- substance abuse: alcohol/chemical dependency/tobacco; Medical care -- Periodicals; Medical care -- Evaluation -- Periodicals; Hospital care -- Periodicals; Health services administration -- Periodicals; 362
• DOI: 10.1111/1475-6773.12491
• Languages: English
• ISSNs: 0017-9124

Abstract

Abstract : Objective: To examine the relationship between physician advice to quit smoking and patient care experiences. Data Source: The 2012 Medicare Consumer Assessment of Healthcare Providers and Systems (MCAHPS) surveys. Study Design: Fixed‐effects linear regression models were used to analyze cross‐sectional survey data, which included a nationally representative sample of 26, 432 smokers aged 65+. Principal Findings: Eleven of 12 patient experience measures were significantly more positive among smokers who were always advised to quit smoking than those advised to quit less frequently. There was an attenuated but still significant and positive association of advice to quit smoking with both physician rating and physician communication, after controlling for other measures of care experiences. Conclusions: Physician‐provided cessation advice was associated with more positive patient assessments of their physicians.