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How do proxy responses and proxy-assisted responses differ from what Medicare beneficiaries might have reported about their health care?(Medicare and the Elderly)(Survey)

Objective. Assess proxy respondent effects on health care evaluations by Medicare beneficiaries.

Data Source. 110,215 respondents from the nationally representative 2001 CAHPS[R] Medicare Fee-for-Service Survey.

Study Design/Data Collection/Extraction Methods. We compare the effects of both proxy respondents and proxy assistance (reading, writing, or translating) on 23 "objective" report items and four "subjective" global measures of health care experiences using propensity-score-weighted regression. We assess whether proxy effects differ among spouses, other relatives, or nonrelatives.

Principal Findings. Proxy respondents provide less positive evaluations of beneficiary health ...

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