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Centre for Policy on Ageing | |
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Extended coverage for preventive services for the elderly
— response and results in a demonstration population | | Author(s) | Pearl S German, Lynda C Burton, Sam Shapiro |
| Journal title | American Journal of Public Health, vol 85, no 3, March 1995 |
| Pages | pp 379-386 |
| Keywords | Preventative medicine ; Living in the community ; Health [elderly] ; Social characteristics [elderly] ; United States of America. |
| Annotation | This US study was undertaken to test the acceptability of preventive services under Medicare waivers to a community-dwelling population aged 65 and over, and to examine the effect of such services on health. Medicare beneficiaries and designated primary care providers were sampled, and some 4,200 beneficiaries were screened, sampled, and randomised into intervention or control groups. Those in the intervention group were offered free preventive visits (under waivers) to their physicians. A follow-up survey of the entire group was administered after completion of the intervention. 63% of the intervention group made a preventive clinical visit, and about half of them a counselling visit. For men, being married and having a solo practitioner were positively associated with accepting the intervention services, while for women, having a mammogram, having a confidant, having a female provider, having a high school education were positively associated with making a visit.The intervention group showed greater health benefits than did the control group, with a lower death rate: 8.3% vs 11.1%. Older individuals will respond to preventive programmes, and such services will result in modest health gains. (RH). |
| Accession Number | CPA-981214005 A |
| Classmark | LK2: K4: CC: F: 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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