title: Advice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65.
abstract: To examine the relationship between physician advice to quit smoking and patient care experiences.
  
  
  
  The 2012 Medicare Consumer Assessment of Healthcare Providers and Systems (MCAHPS) surveys.
  
  
  
  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+.
  
  
  
  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.
  
  
  
  Physician-provided cessation advice was associated with more positive patient assessments of their physicians.
authors.affiliation: MRC Epidemiology Unit and the Centre for Diet and Activity Research (CEDAR), Cambridge University, Cambridge, UK.
authors.forename: Eleanor
authors.initials: E
authors.lastname: Winpenny
authors.affiliation: RAND Corporation, Santa Monica, CA.
authors.forename: Marc N
authors.initials: MN
authors.lastname: Elliott
authors.affiliation: RAND Health, RAND Corporation, Pittsburgh, PA.
authors.forename: Ann
authors.initials: A
authors.lastname: Haas
authors.affiliation: RAND Health, RAND Corporation, Pittsburgh, PA.|Statistics, Heinz School of Public Policy and Management, Carnegie Mellon University, Pittsburgh, PA.
authors.forename: Amelia M
authors.initials: AM
authors.lastname: Haviland
authors.affiliation: RAND Corporation, Santa Monica, CA.
authors.forename: Nate
authors.initials: N
authors.lastname: Orr
authors.affiliation: RAND Health, RAND Corporation, Pittsburgh, PA.
authors.forename: William G
authors.initials: WG
authors.lastname: Shadel
authors.affiliation: Center for Medicare & Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, MD.
authors.forename: Sai
authors.initials: S
authors.lastname: Ma
authors.affiliation: RAND Health, RAND Corporation, Boston, MA.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Friedberg
authors.affiliation: School of Public Health, Yale School of Public Health, New Haven, CT.
authors.forename: Paul D
authors.initials: PD
authors.lastname: Cleary
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D006278:Medicare / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation / Q000523:psychology / Q000706:statistics & numerical data*; D000074606:Smoking Prevention; D014481:United States / Q000453:epidemiology
keywords: Medicare; Survey research and questionnaire design; clinical practice; incentives in health care; patient assessment/satisfaction; substance abuse: alcohol/chemical dependency/tobacco