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Centre for Policy on Ageing | |
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| Are managed care Medicare beneficiaries with chronic conditions satisfied with their care? | | Author(s) | Nadereh Pourat, Marjorie Kagawa-Singer, Steven P Wallace |
| Journal title | Journal of Aging and Health, vol 18, no 1, February 2006 |
| Pages | pp 70-90 |
| Source | http://www.sagepub.com |
| Keywords | Ill health ; Health services ; Usage [services] ; Satisfactory ; United States of America. |
| Annotation | Patient experiences of chronically ill older people in health maintenance organizations (HMOs) are compared with other forms of Medicare supplemental coverage. The authors used data from the 1996 Medicare Current Beneficiaries Survey to analyse chronically ill older people's experiences with overall quality, access to care and doctors' technical, interpersonal and information-giving skills. Logistic models controlled for prevalent chronic conditions, functioning, perceived health status, sociodemographics, region of residence, and county-level Medicare HMO coverage. Satisfaction with quality of overall care and doctors' skills were more likely for many conditions for those with private fee for service and Medicaid supplemental coverage, compared to Medicare HMO population. No insurance effects were found among older people who had none of the examined conditions. Managed care may have negatively affect patients' perceptions of overall quality of care and doctor-patient interaction. Including additional and supplementary services in the delivery of care may improve satisfaction rates. (RH). |
| Accession Number | CPA-060306205 A |
| Classmark | CH: L: QLD: 5HH: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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