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Titre : | Patient Satisfaction and Perceived Quality of Care Among Younger Medicare Beneficiaries According to Activity Limitation Stages (2019) |
Auteurs : | Olivia A. Bernal ; Heather F. McClintock ; Jibby E. Kurichi |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 2, 2019) |
Article en page(s) : | p. 289-299 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Personnes handicapées ; Rééducation et réadaptation ; Satisfaction des patients |
Mots-clés: | Disabled persons ; Government programs ; Programmes gouvernementaux ; Medicare ; Medicare (USA) ; Patient satisfaction |
Résumé : |
Objective To examine the association between activity limitation stages and patient satisfaction and perceived quality of medical care among younger Medicare beneficiaries. Design Cross-sectional study. Setting Medicare Current Beneficiary Survey (MCBS) for calendar years 2001-2011. Participants A population-based sample (N=9323) of Medicare beneficiaries Interventions Not applicable. Main Outcome Measures MCBS questions were categorized under 5 patient satisfaction and perceived quality dimensions: care coordination and quality, access barriers, technical skills of primary care physician (PCP), interpersonal skills of PCP, and quality of information provided by PCP. Persons were classified into an activity limitation stage (0-IV) which was derived from self-reported difficulty performing activities of daily living (ADL) and instrumental activities of daily living (IADL). Results Compared to beneficiaries with no limitations at ADL stage 0, the adjusted odds ratios (95% confidence intervals) for stage I (mild) to stage IV (complete) for satisfaction with access barriers ranged from 0.62 (0.53-0.72) at stage I to a minimum of 0.31 (0.22-0.43) at stage IV. Similarly, compared to beneficiaries at IADL stage 0, satisfaction with access barriers ranged from 0.66 (0.55-0.79) at stage I to a minimum of 0.36 (0.26-0.51) at stage IV. Satisfaction with care coordination and quality and perceived quality of medical care were not associated with activity limitation stages. Conclusions Younger Medicare beneficiaries with disabilities reported decreased satisfaction with access to medical care, highlighting the need to improve access to health care and human services and to enhance workforce capacity to meet the needs of this patient population. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318313765 |