Study Findings from University of Pennsylvania Provide New Insights into Medicare and Medicaid (Patient Satisfaction and Prognosis for Functional…

Study Findings from University of Pennsylvania Provide New Insights into Medicare and Medicaid (Patient Satisfaction and Prognosis for Functional Improvement and Deterioration, Institutionalization, and Death Among Medicare Beneficiaries Over 2 ...)

By a News Reporter-Staff News Editor at Insurance Weekly News -- Investigators publish new report on Medicare and Medicaid. According to news reporting originating in Philadelphia, Pennsylvania, by VerticalNews journalists, research stated, "To examine how patient satisfaction with care coordination and quality and access to medical care influence functional improvement or deterioration (activity limitation stage transitions), institutionalization, or death among older adults. National representative sample with 2-year follow-up."

The news reporters obtained a quote from the research from the University of Pennsylvania, "Medicare Current Beneficiary Survey from calendar years 2001 to 2008. Community-dwelling adults (N=23,470) aged >= 65 years followed for 2 years. Not applicable. A multinomial logistic regression model taking into account the complex survey design was used to examine the association between patient satisfaction with care coordination and quality and patient satisfaction with access to medical care and activities of daily living (ADL) stage transitions, institutionalization, or death after 2 years, adjusting for baseline socioeconomics and health-related characteristics. Out of 23,470 Medicare beneficiaries, 14,979 (63.8% weighted) remained stable in ADL stage, 2508 (10.7% weighted) improved, 3210 (13.3% weighted) deteriorated, 582 (2.5% weighted) were institutionalized, and 2281 (9.7% weighted) died. Beneficiaries who were in the top quartile of satisfaction with care coordination and quality were less likely to be institutionalized (adjusted relative risk ratio [RRR],.68; 95% confidence interval [CI], .54-.86). Beneficiaries who were in the top quartile of satisfaction with access to medical care were less likely to functionally deteriorate (adjusted RRR,.87; 95% CI, .79-.97), be institutionalized (adjusted RRR,.72; 95% CI,.56-.92), or die (adjusted RRR,.86; 95% CI,.75-.98)."

According to the news reporters, the research concluded: "Knowledge of patient satisfaction with medical care and risk of functional deterioration may be helpful for monitoring and addressing disability-related health care disparities and the effect of ongoing policy changes among Medicare beneficiaries."

For more information on this research see: Patient Satisfaction and Prognosis for Functional Improvement and Deterioration, Institutionalization, and Death Among Medicare Beneficiaries Over 2 Years. Archives of Physical Medicine and Rehabilitation, 2017;98(1):1-10. Archives of Physical Medicine and Rehabilitation can be contacted at: W B Saunders Co-Elsevier Inc, 1600 John F Kennedy Boulevard, Ste 1800, Philadelphia, PA 19103-2899, USA. (Elsevier - www.elsevier.com; Archives of Physical Medicine and Rehabilitation - www.journals.elsevier.com/archives-of-physical-medicine-and-rehabilitation/)

Our news correspondents report that additional information may be obtained by contacting H.R. Bogner, University of Pennsylvania, Perelman Sch Med, Center Clin Epidemiol & Biostat, Philadelphia, PA 19104, United States. Additional authors for this research include H.F. de Vries, J.E. Kurichi, P.L. Kwong, D.W. Xie, S. Hennessy, J.E. Streim and M.G. Stineman.

Keywords for this news article include: Philadelphia, Pennsylvania, United States, North and Central America, Medicare and Medicaid, Health Policy, Medicare, University of Pennsylvania.

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