The uninsured. From dilemma to crisis

Friedman, Emily

doi:10.1001/jama.265.19.2491

Cited by 61 publications

(22 citation statements)

References 9 publications

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“…There is also considerable evidence that Medicare has not equalized access to health care among older persons. Among Medicare recipients, low-income enrollees receive less care (Friedman, 1991), are in poorer health when they receive care (Feinstein, 1993), and receive poorer quality care (Gornick et al, 1996).…”

mentioning

confidence: 99%

Private Health Insurance Coverage and Disability among Older Americans

Landerman

Fillenbaum

Pieper

et al. 1998

The Journals of Gerontology Series B: Psychological Sciences an

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Objectives. This study examines the relationship between the lack of private supplemental health insurance coverage and the development of disability among adults aged 65 and older.Methods. Data are from the baseline and six follow-up waves of the Duke Established Populations for Epidemiologic Studies of the Elderly survey (N = 4,000). Discrete-time hazard models were used to estimate the impact of insurance coverage and other risk factors on the incidence of disability among those unimpaired at baseline.Results. Controlling for education, income, and other potential confounders, the odds of developing disability were 35-49% higher among those without private coverage. Insurance coverage also statistically explained part of the increased risk of disability among low-income persons.Discussion. The results indicate that changes in health insurance coverage as well as in individual behaviors may be needed to reduce disability generally and disability among the socioeconomically disadvantaged, in particular.

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confidence: 99%

Private Health Insurance Coverage and Disability among Older Americans

Landerman

Fillenbaum

Pieper

et al. 1998

The Journals of Gerontology Series B: Psychological Sciences an

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“…Usually, these policies cover copayments, deductibles, and other Medicarereimbursed services, and some services (e.g., prescription medications) not covered by Medicare. Yet, among Medicare recipients, low-income enrollees have been found to receive less care (Friedman, 1991), to be in poorer health when they receive care (Feinstein, 1993), and to receive poorer quality of care (Gornick et al, 1996). If this relationship found in our study reflects differences in access, it suggests that providing additional health coverage to those without private insurance (approximately 35% of our sample) would potentially reduce the odds of poor self-rated health by 87% among those 65 years or older.…”

Section: Discussionmentioning

confidence: 99%

Access to Health Care and Self-Rated Health Among Community-Dwelling Older Adults

Goins

Hays²,

Landerman

et al. 2001

J Appl Gerontol

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Objective: This study examined the relationship between access to health care and self-rated health among community-dwelling persons aged 65 years and older. Data Source: The analyses were based on a sample of 2,982 participants from the Duke Established Populations for Epidemiologic Studies of the Elderly. Study Design: This study was a secondary data analysis using longitudinal data collected in 1987 and again in 1990. Logistic regression was used to determine change to poor self-rated health from excellent, good, or fair self-rated health. Principal Finding: In a multivariate model, one of the seven access to health care indicators was found to be significantly related to reporting poor self-rated health. Controlling for demographics and other potential confounders, the odds of reporting poor self-rated health were approximately 87% higher among those without private health coverage.

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“…The report that insurance status does affect hospital stays is supported by Davis and Rowland (1983), Aday andAnderson (1978, 1984), Mulstein (1984), Moheit et al (1985), Kennedy (1987), Hayward et al (1988), Brown (1989), Friedman (1991, Burstin et al (1992), Hahn and Lefkowitz (1992), Patrick et al (1992), Weissman et al (1992), Swartz (1994), as well as by Pol and Thomas (2001). The preceding studies have concluded that individuals with any form of public or private insurance have more physician visits and hospital stays compared with the uninsured.…”

Section: Introductionmentioning

confidence: 95%

Predicting length of stay for Medicare patients at a teaching hospital

Omachonu

Suthummanon

Akcin

et al. 2004

Health Serv Manage Res

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This research examines how the patients' characteristics and clinical indicators affect length of stay for the top five Diagnosis-Related-Groups (DRGs) for Medicare patients at a teaching hospital in the United States. The top DRGs were selected on the basis of volume per year. Teaching hospitals in the United States devote a significant amount of their resources to research and teaching, while providing treatment for patients. The ability to predict length of stay can substantially improve a teaching hospital's capacity utilization, while ensuring that resources are available to meet the health care needs of the Medicare population. Multiple regression models are developed to predict the length of stay using the patients' characteristics and clinical indicators as independent variables. The results indicate that approximately 60 percent (R(2)) of the variance in the length of stay is explained by the patients' characteristics and clinical indicators for these DRGs. The Mortality and Severity indices are found to be the strongest predictors for length of stay in all DRGs. Other patients' characteristics and clinical indicators such as age, gender, race/ethnicity, marital status, admission type and admission source are also significant predictors for some DRGs. In addition, most of these variables affect the length of stay in the same manner as shown in previous studies, even though the previous studies do not have the DRG specificity of this study.

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The uninsured. From dilemma to crisis

Cited by 61 publications

References 9 publications

Private Health Insurance Coverage and Disability among Older Americans

Private Health Insurance Coverage and Disability among Older Americans

Access to Health Care and Self-Rated Health Among Community-Dwelling Older Adults

Predicting length of stay for Medicare patients at a teaching hospital

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