The quality of health insurance service delivery for kidney transplant recipients: A patient perspective: Personal viewpoint

E. J. Gordon, D. Conti

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


Increased attention has been devoted to improving quality care in kidney transplantation. The discourse on quality care has focused on transplant center metrics and other clinical parameters. However, there has been little discussion on the quality of health insurance service delivery, which may be critical to kidney recipients' access to transplantation and immunosuppression. This paper describes and provides a framework for characterizing kidney transplant recipients' positive and negative interactions with their insurers. A consecutive cohort of kidney recipients (n = 87) participated in semistructured interviews on their interactions with insurance agencies. Patients reported negative (37%) and/or neutral or positive (79%) interactions with their insurer (a subset [16%] reported both). Perceived negative experiences included: poor service, logistical difficulties with confusing and time-consuming paperwork, poor communication, rude behavior and concerns about adequate coverage. Positive experiences related to: having good coverage, a simple application process, straightforward transactions and helpful communication. Findings suggest that even when patients have insurance coverage, difficult interactions with insurers and limited skills in navigating insurance options may limit their access to needed medications and health services. Future research is needed to test this hypothesis in a larger population.

Original languageEnglish (US)
Pages (from-to)2208-2214
Number of pages7
JournalAmerican Journal of Transplantation
Issue number10
StatePublished - Oct 2010


  • Access to care
  • delivery
  • ethics
  • health insurance
  • health services
  • immunosuppressant medications
  • kidney transplantation
  • qualitative research
  • quality care

ASJC Scopus subject areas

  • Transplantation
  • Pharmacology (medical)
  • Immunology and Allergy


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