Healthcare experience among older cancer survivors

Analysis of the SEER-CAHPS dataset

Michael Halpern, Matthew P. Urato, Lisa M. Lines, Julia B. Cohen, Neeraj K. Arora, Erin E. Kent

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: Little is known about factors affecting medical care experiences of cancer survivors. This study examined experience of care among cancer survivors and assessed associations of survivors' characteristics with their experience. Materials and Methods: We used a newly-developed, unique data resource, SEER-CAHPS (NCI's Surveillance Epidemiology and End Results [SEER] data linked to Medicare Consumer Assessment of Healthcare Providers and Systems [CAHPS] survey responses), to examine experiences of care among breast, colorectal, lung, and prostate cancer survivors age >. 66. years who completed CAHPS >. 1. year after cancer diagnosis and survived ≥. 1. year after survey completion. Experience of care was assessed by survivor-provided scores for overall care, health plan, physicians, customer service, doctor communication, and aspects of care. Multivariable logistic regression models assessed associations of survivors' sociodemographic and clinical characteristics with care experience. Results: Among 19,455 cancer survivors with SEER-CAHPS data, higher self-reported general-health status was significantly associated with better care experiences for breast, colorectal, and prostate cancer survivors. In contrast, better mental-health status was associated with better care experience for lung cancer survivors. College-educated and Asian survivors were less likely to indicate high scores for care experiences. Few differences in survivors' experiences were observed by sex or years since diagnosis. Conclusions: The SEER-CAHPS data resources allows assessment of factors influencing experience of cancer among U.S. cancer survivors. Higher self-reported health status was associated with better experiences of care; other survivors' characteristics also predicted care experience. Interventions to improve cancer survivors' health status, such as increased access to supportive care services, may improve experience of care.

Original languageEnglish (US)
JournalJournal of Geriatric Oncology
DOIs
StateAccepted/In press - Jan 1 2017
Externally publishedYes

Fingerprint

Health Personnel
Survivors
Epidemiology
Delivery of Health Care
Neoplasms
Health Status
Datasets
Colorectal Neoplasms
Lung Neoplasms
Prostatic Neoplasms
Logistic Models
Breast Neoplasms
Medicare
Mental Health
Communication
Physicians

Keywords

  • CAHPS
  • Cancer
  • Medicare
  • Patient satisfaction
  • SEER
  • Survivors

ASJC Scopus subject areas

  • Oncology
  • Geriatrics and Gerontology

Cite this

Healthcare experience among older cancer survivors : Analysis of the SEER-CAHPS dataset. / Halpern, Michael; Urato, Matthew P.; Lines, Lisa M.; Cohen, Julia B.; Arora, Neeraj K.; Kent, Erin E.

In: Journal of Geriatric Oncology, 01.01.2017.

Research output: Contribution to journalArticle

Halpern, Michael ; Urato, Matthew P. ; Lines, Lisa M. ; Cohen, Julia B. ; Arora, Neeraj K. ; Kent, Erin E. / Healthcare experience among older cancer survivors : Analysis of the SEER-CAHPS dataset. In: Journal of Geriatric Oncology. 2017.
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abstract = "Objective: Little is known about factors affecting medical care experiences of cancer survivors. This study examined experience of care among cancer survivors and assessed associations of survivors' characteristics with their experience. Materials and Methods: We used a newly-developed, unique data resource, SEER-CAHPS (NCI's Surveillance Epidemiology and End Results [SEER] data linked to Medicare Consumer Assessment of Healthcare Providers and Systems [CAHPS] survey responses), to examine experiences of care among breast, colorectal, lung, and prostate cancer survivors age >. 66. years who completed CAHPS >. 1. year after cancer diagnosis and survived ≥. 1. year after survey completion. Experience of care was assessed by survivor-provided scores for overall care, health plan, physicians, customer service, doctor communication, and aspects of care. Multivariable logistic regression models assessed associations of survivors' sociodemographic and clinical characteristics with care experience. Results: Among 19,455 cancer survivors with SEER-CAHPS data, higher self-reported general-health status was significantly associated with better care experiences for breast, colorectal, and prostate cancer survivors. In contrast, better mental-health status was associated with better care experience for lung cancer survivors. College-educated and Asian survivors were less likely to indicate high scores for care experiences. Few differences in survivors' experiences were observed by sex or years since diagnosis. Conclusions: The SEER-CAHPS data resources allows assessment of factors influencing experience of cancer among U.S. cancer survivors. Higher self-reported health status was associated with better experiences of care; other survivors' characteristics also predicted care experience. Interventions to improve cancer survivors' health status, such as increased access to supportive care services, may improve experience of care.",
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AB - Objective: Little is known about factors affecting medical care experiences of cancer survivors. This study examined experience of care among cancer survivors and assessed associations of survivors' characteristics with their experience. Materials and Methods: We used a newly-developed, unique data resource, SEER-CAHPS (NCI's Surveillance Epidemiology and End Results [SEER] data linked to Medicare Consumer Assessment of Healthcare Providers and Systems [CAHPS] survey responses), to examine experiences of care among breast, colorectal, lung, and prostate cancer survivors age >. 66. years who completed CAHPS >. 1. year after cancer diagnosis and survived ≥. 1. year after survey completion. Experience of care was assessed by survivor-provided scores for overall care, health plan, physicians, customer service, doctor communication, and aspects of care. Multivariable logistic regression models assessed associations of survivors' sociodemographic and clinical characteristics with care experience. Results: Among 19,455 cancer survivors with SEER-CAHPS data, higher self-reported general-health status was significantly associated with better care experiences for breast, colorectal, and prostate cancer survivors. In contrast, better mental-health status was associated with better care experience for lung cancer survivors. College-educated and Asian survivors were less likely to indicate high scores for care experiences. Few differences in survivors' experiences were observed by sex or years since diagnosis. Conclusions: The SEER-CAHPS data resources allows assessment of factors influencing experience of cancer among U.S. cancer survivors. Higher self-reported health status was associated with better experiences of care; other survivors' characteristics also predicted care experience. Interventions to improve cancer survivors' health status, such as increased access to supportive care services, may improve experience of care.

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