TY - JOUR
T1 - Dissatisfaction with medical services among medicare beneficiaries with disabilities
AU - Jha, Amitabh
AU - Patrick, Donald L.
AU - MacLehose, Richard F.
AU - Doctor, Jason N.
AU - Chan, Leighton
PY - 2002/10
Y1 - 2002/10
N2 - Objective: To test the hypothesis that Medicare beneficiaries who have difficulties performing activities of daily living (ADLs) are more likely to report dissatisfaction with their health care than those without ADL difficulties. Design: Cross-sectional study. Setting: Sample from the 1998 Medicare Current Beneficiaries Survey. Participants: A population-based sample (N=19, 650) of noninstitutionalized Medicare beneficiaries. Interventions: Not applicable. Main Outcome Measures: Satisfaction with overall quality and 9 specific aspects of medical services received in the last year. Results: After adjusting for sociodemographic, behavioral, and system characteristics and compared with those without ADL difficulties, Medicare enrollees were more likely to report dissatisfaction with the overall quality of their health care as their number of activity restrictions increased (1-2 ADLs: odds ratio [OR]=1.5; 95% confidence interval [CI], 1.2-2.0; 3-4 ADLs: OR=1.7; 95% CI, 1.2-2.4; 5-6 ADLs: OR=1.9; 95% CI, 1.4-2.8). Analysis of satisfaction with the 9 specific aspects of care yielded similar results. Conclusion: Disability is a significant independent risk factor for dissatisfaction with health care in the Medicare population. Efforts should be made to identify individuals with ADL difficulties and to improve their ease and convenience of getting to a doctor, the availability of care off hours, the access to specialists, and the follow-up care received.
AB - Objective: To test the hypothesis that Medicare beneficiaries who have difficulties performing activities of daily living (ADLs) are more likely to report dissatisfaction with their health care than those without ADL difficulties. Design: Cross-sectional study. Setting: Sample from the 1998 Medicare Current Beneficiaries Survey. Participants: A population-based sample (N=19, 650) of noninstitutionalized Medicare beneficiaries. Interventions: Not applicable. Main Outcome Measures: Satisfaction with overall quality and 9 specific aspects of medical services received in the last year. Results: After adjusting for sociodemographic, behavioral, and system characteristics and compared with those without ADL difficulties, Medicare enrollees were more likely to report dissatisfaction with the overall quality of their health care as their number of activity restrictions increased (1-2 ADLs: odds ratio [OR]=1.5; 95% confidence interval [CI], 1.2-2.0; 3-4 ADLs: OR=1.7; 95% CI, 1.2-2.4; 5-6 ADLs: OR=1.9; 95% CI, 1.4-2.8). Analysis of satisfaction with the 9 specific aspects of care yielded similar results. Conclusion: Disability is a significant independent risk factor for dissatisfaction with health care in the Medicare population. Efforts should be made to identify individuals with ADL difficulties and to improve their ease and convenience of getting to a doctor, the availability of care off hours, the access to specialists, and the follow-up care received.
KW - Activities of daily living
KW - Disabled persons
KW - Medicare
KW - Patient satisfaction
KW - Rehabilitation
KW - Survey
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U2 - 10.1053/apmr.2002.33986
DO - 10.1053/apmr.2002.33986
M3 - Article
C2 - 12370864
AN - SCOPUS:0036791762
SN - 0003-9993
VL - 83
SP - 1335
EP - 1341
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 10
ER -