Patient Satisfaction and Perceived Quality of Care Among Younger Medicare Beneficiaries According to Activity Limitation Stages

Bernal, Olivia A.; McClintock, Heather F.; Kurichi, Jibby E.; Kwong, Pui L.; Xie, Dawei; Streim, Joel E.; Pezzin, Liliana E.; Bogner, Hillary R.

doi:10.1016/j.apmr.2018.09.114

Cited by 10 publications

(13 citation statements)

References 29 publications

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“…Covariates that may confound the association between sensory impairment and satisfaction with care were identified in the satisfaction with care and disability literature. 28,30,33 Sociodemographic and access-to-care characteristics included age (<65 years, 65-75 years, >75 years), sex, race and ethnicity (non-Hispanic White, non-Hispanic Black, Hispanic, other), educational attainment (less than high school, high school or equivalent, more than high school), marital status, metropolitan area status, income poverty ratio Medicare threshold (Յ100% of the federal poverty level [FPL], >100% and Յ120%, >120% and Յ135%, >135% and Յ200%, and >200%), and supplemental insurance coverage (including Medigap, employer-sponsored plans, and plans directly purchased).…”

Section: Other Measuresmentioning

confidence: 99%

“…Previous work has focused on the association of individual sensory impairments and satisfaction with care, particularly with hearing impairment among older adults. 28,32 Few articles have focused on vision impairment specifically 30,33 and none have addressed dual sensory impairment in terms of general health care satisfaction. Dual sensory impairment may exacerbate the impact of either individual sensory impairment, as it strains an individual's ability to use sensory compensation strategies.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Sensory Impairment and Health Care Satisfaction Among Medicare Beneficiaries

et al. 2020

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Key Points Question What is the association between hearing, vision, or dual sensory impairment and dissatisfaction with health care among Medicare beneficiaries? Findings In this cross-sectional study including 10 783 Medicare beneficiaries, people with dual sensory impairment were more likely to report dissatisfaction with quality of care, communication from health care professionals, and access to care, and those with hearing and vision impairment were more likely to report dissatisfaction with the information given by health care professionals than those without sensory impairments. Meaning Addressing sensory impairment across health care settings via quality initiatives and environmental modifications may represent an area of intervention to improve health care satisfaction.

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Section: Other Measuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of Sensory Impairment and Health Care Satisfaction Among Medicare Beneficiaries

et al. 2020

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“…Some studies have examined satisfaction after a period from discharge, using an online questionnaire or phone interview with the patient himself/ herself or his/her relatives. It was previously reported that when the interview was done with the relatives, they stated lower satisfaction rates than the patients themselves (4,6).…”

Section: Discussionmentioning

confidence: 95%

“…Patient satisfaction scales, largely used in recent years, allow the health care providers to assess the quality of performance and give data about how to improve patient experience (3). Moreover, satisfaction is associated with patients' compliance with therapy, decrease in costs and even functional results of the patients (4).…”

Section: Introductionmentioning

confidence: 99%

“…There are numerous studies to evaluate satisfaction in various populations (3,4,7), however to the best of our knowledge, there are few studies to investigate the level of satisfaction and the injury-related factors to directly affect satisfaction in chronic SCI. Thus, the present study aimed to evaluate; 1) satisfaction with medical care and rehabilitation in patients with chronic SCI on an in-patient setting, 2) whether satisfaction differed with regard to the level and severity of injury, 3) whether the level of satisfaction was associated with functional independence and quality of life measures.…”

Section: Introductionmentioning

confidence: 99%

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Does the Level and Severity of Injury Affect Patient Satisfaction in Patients With Chronic Spinal Cord Injury Undergoing Inpatient Rehabilitation ?

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Özdemir

et al. 2021

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Bu çalışmanın amacı yatarak rehabilitasyon tedavisi alan kronik spinal kord yaralanmalı (SKY) hastaların memnuniyet düzeylerinin, yaralanma seviyesi ve şiddetine göre farklılık gösterip göstermediğini incelemek ve farklı memnuniyet düzeyine sahip hastaların fonksiyonel bağımsızlık ve yaşam kaliteleri arasında fark olup olmadığını ortaya koymaktır. GEREÇ VE YÖNTEM:Hastaların lezyon seviyesi (servikal, torasik, lumbosakral) kaydedildi ve lezyonun şiddeti (komplet/inkomplet) American Spinal Cord Injury Association (ASIA) Impairment Scale'e göre belirlendi. Hastaların bağımsızlık derecesi, Fonksiyonel Bağımsızlık Ölçümü (Functional Independence Measure-FİM) motor skoru kullanılarak belirlendi. Sağlıkla ilişkili yaşam kalitesi değerlendirilmesi için kısa form-36 (Short Form-36-SF-36) kullanıldı. Memnuniyet, hasta memnuniyetini değerlendirmek için oluşturulmuş bir anket kullanılarak değerlendirildi. Ankette memnuniyet düzeyi "çok memnunum, memnunum, memnuniyetsizim, hiç memnun değilim" olarak ve doktor, hemşire, fizyoterapist, yemek hizmeti, temizlik hizmeti, teknik donanım ve genel memnuniyet kategorilerinde sorgulama yapılarak belirlendi.

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Comparison of Ambulatory Care Access and Quality for Beneficiaries With Disabilities Covered by Medicare Advantage vs Traditional Medicare Insurance

2022

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IMPORTANCEMedicare beneficiaries with disabilities aged 18 to 64 years face barriers accessing ambulatory care. Past studies comparing Medicare Advantage (MA) with traditional Medicare (TM) have not assessed how well these programs meet the needs of beneficiaries with disabilities. OBJECTIVE To compare differences in enrollment rates, ambulatory care access, and ambulatory care quality for beneficiaries with disabilities in MA vs TM. DESIGN, SETTING, AND PARTICIPANTS This cohort study included a nationally representative, weighted sample of 7201 person-years for beneficiaries aged 18 to 64 years with disability entitlement in the Medicare Current Beneficiary Survey from 2015 through 2018. Differences in program enrollment and in measures of access and quality by program enrollment were compared after adjusting for demographic, insurance, social, health, and area characteristics and after reweighting the sample by propensity to enroll in MA as estimated by observed confounders. Data analyses were conducted between November 1, 2020, and November 11, 2021. EXPOSURES Medicare Advantage vs TM program enrollment. MAIN OUTCOMES AND MEASURES Six patient-reported measures of ambulatory care access(usual source of care, primary care usual source of care, specialist visit) and quality (cholesterol screening, influenza vaccination, colon cancer screening). RESULTSThe mean (SD) age of the overall study population was 52.1 (11.0) years; 49.5% were female and 50.5% were male; 1.6% were Asian/Pacific Islander; 17.4%, Black; 10.2% Hispanic; 1.4%, Native American; 65.1%, White, and 4.2%, multiracial. Among all beneficiaries living in the community, individuals with disability entitlement were less likely to enroll in MA than other beneficiaries (34.8% vs 41.2%). The final sample of beneficiaries with disabilities included 2444 person-years in MA and 4757 person-years in TM. Beneficiaries with disabilities in MA vs TM were more likely to be of a minority race or ethnicity (35.7% vs 27.6%) and less likely to be enrolled in private insurance (11.9% vs 25.0%). Comparing MA with TM among beneficiaries with disabilities, those in MA had significantly better rates of access to a usual source of care (90.2% vs 84.9%;

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Patient Satisfaction and Perceived Quality of Care Among Younger Medicare Beneficiaries According to Activity Limitation Stages

Cited by 10 publications

References 29 publications

Assessment of Sensory Impairment and Health Care Satisfaction Among Medicare Beneficiaries

Assessment of Sensory Impairment and Health Care Satisfaction Among Medicare Beneficiaries

Does the Level and Severity of Injury Affect Patient Satisfaction in Patients With Chronic Spinal Cord Injury Undergoing Inpatient Rehabilitation ?

Comparison of Ambulatory Care Access and Quality for Beneficiaries With Disabilities Covered by Medicare Advantage vs Traditional Medicare Insurance

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