Does Poorer Familiarity with Medicare Translate into Worse Access to Health Care?
Does Poorer Familiarity with Medicare Translate into Worse Access to Health Care?
复制标题
DOI：
10.1111/j.1532-5415.2008.01993.x
复制
发表时间：
2008-11-01
影响因子：
6.3
通讯作者：
Virnig, Beth A.
中科院分区：
文献类型：
--
作者：
Morgan, Robert O.;Teal, Cayla R.;Virnig, Beth A.
研究全球 Medicare 计划熟悉度衡量标准与实际和感知医疗保健获取情况的广泛衡量标准之间的关系。2004 年秋季邮寄调查（已完成 2,997 份调查；53% 的回复率）。美国大都市和非大都市地区。白人、黑人和西班牙裔 Medicare 受益人。对 Medicare 的熟悉程度以及健康状况、医疗保健使用和感知获取机会的自我报告衡量标准据报告，对 Medicare 的熟悉度较差，因此更有可能因费用、多次急诊就诊、缺乏处方药使用、对护理的了解较差、整体健康状况较差以及报告的健康状况较上一年下降更大而延迟护理。黑人和西班牙裔受访者比白人更可能不熟悉，尽管在调整种族或族裔、医疗保险健康计划注册状况、补充保险状况、年龄、性别、收入水平、教育、地理区域和一般医疗保健使用后，熟悉度和医疗保健获取之间的关系仍然存在。对医疗保险的不熟悉可能会影响受益人有效获得所需护理的能力，可能导致他们延迟或避免寻求护理，并最终可能对医疗保健的质量产生负面影响。他们收到的信息和结果。
To examine the relationship between a global measure of Medicare program familiarity and a broad set of measures of actual and perceived healthcare access.Mailed survey in fall of 2004 (2,997 completed surveys; 53% response rate).Metropolitan and nonmetropolitan areas across the United States.White, black, and Hispanic Medicare beneficiaries.Familiarity with Medicare and self-reported measures of health status, healthcare use, and perceived access to care.Reported poorer familiarity with Medicare is associated with a greater likelihood of delayed care due to cost, multiple emergency department visits, lack of prescription medication use, poorer perceived access to care, poorer overall health, and a greater reported decline in health from the prior year. Black and Hispanic respondents were more likely to be unfamiliar than whites, although the relationship between familiarity and healthcare access persisted after adjusting for race or ethnicity, Medicare health plan enrollment status, supplemental insurance status, age, sex, income level, education, geographic area, and general healthcare use.Poorer familiarity with Medicare may affect beneficiaries' ability to access needed care effectively, may lead them to delay or avoid seeking care, and ultimately may have negatively affect the quality of the health care that they receive and their outcomes.