MedicalResearch.com Interview with:
Andrew C. Qi, Medical student
Karen E. Joynt Maddox MD MPH
Assistant professor of medicine
Washington University School of Medicine
Saint Louis, Missouri.
MedicalResearch.com: What is the background for this study?
Response: The End-Stage Renal Disease Quality Incentive Program (ESRD QIP) is a Medicare program that evaluates dialysis facilities in the U.S. based on a set of quality measures, and penalizes low-performing facilities. We’ve seen a growing understanding of how social risk factors like poverty and race/ethnicity impact patient outcomes in other settings, making it difficult for providers caring for disadvantaged populations to perform as well in these kinds of pay-for-performance programs. We were interested in seeing if this was the case for dialysis facilities as well, especially since patients receiving dialysis are already a vulnerable population.