Vision Impairment and Patient Activation among Medicare Beneficiaries.
Vision Impairment and Patient Activation among Medicare Beneficiaries.
复制标题
DOI：
10.1080/09286586.2022.2078495
复制
发表时间：
2022-05-20
影响因子：
1.8
通讯作者：
中科院分区：
文献类型：
--
作者：
患者激活度低与患者预后差相关。视力受损的人可能由于交流和访问障碍而具有较低的患者激活度。我们检查了患者激活与视力障碍的关系。使用2016年医疗保险现行受益人调查的横断面研究。老年医疗保险受益人，无痴呆，谁完成局部患者激活问卷包括。第一暴露为自我报告的视力障碍（无视力障碍、有少量视力障碍、有大量视力障碍），第二暴露为双重感觉障碍（无感觉障碍、只有视力障碍、只有听力障碍、双重感觉障碍）。患者激活评分根据其在平均值附近的分布分为低、中、高。多变量调整有序回归模型检验了患者激活与视力障碍的关系，然后是与双重感觉障碍的关系。总共有6683名参与者。轻度视力障碍患者的高激活率低20%（比值比[OR] = 0.80, 95%可信区间[CI] = 0.71-0.90），重度视力障碍患者的高激活率低26% （OR = 0.74, 95% CI = 0.55-0.98）。在第二个模型中，与没有感觉障碍的人相比，只有视力或听力障碍的人的高激活几率更低。双重感觉障碍与高激活的几率甚至更低有关。有感觉障碍的老年医疗保险受益人可能是一个目标群体，以提高患者的激活水平，这可能潜在地改善该人群的健康结果和医疗保健利用模式。
Low patient activation is associated with poor patient outcomes. People with vision impairment may have low patient activation as a result of communication and access barriers. We examined the association of patient activation with vision impairment. Cross-sectional study using the 2016 Medicare Current Beneficiary Survey. Older Medicare beneficiaries, without dementia, who completed the topical patient activation questionnaire were included. The primary exposure was self-reported vision impairment (no vision impairment, a little vision impairment, a lot of vision impairment), and the secondary exposure was dual sensory impairment (no sensory impairment, vision impairment only, hearing impairment only, dual sensory impairment). Patient activation scores were categorized as low, moderate, or high based on their distribution around the mean. Multivariable-adjusted ordinal regression models examined the association of patient activation with vision impairment, and then with dual sensory impairment. In total, 6,683 participants were included. Those with a little vision impairment had 20% lower odds of higher patient activation (odds ratio [OR] = 0.80, 95% confidence interval [CI] = 0.71–0.90), and those with a lot of vision impairment had 26% lower odds of higher patient activation (OR = 0.74, 95% CI = 0.55–0.98). In the second model, having vision or hearing impairment only was associated with lower odds of higher activation than having no sensory impairment. Having dual sensory impairment was associated with even lower odds of higher activation. Older Medicare beneficiaries with sensory impairment may be a group to target to improve patient activation levels, which could potentially improve health outcomes and health care utilization patterns in this population.
登录
查看更多内容
影响因子：
3.4
作者：
Hibbard, Judith H.;Greene, Jessica;Parrotta, Carmen
通讯作者：
Parrotta, Carmen
影响因子：
8.1
作者：
Assi, Lama;Varadaraj, Varshini;Swenor, Bonnielin K.
通讯作者：
Swenor, Bonnielin K.
影响因子：
4.2
作者：
Crews, John E.;Chou, Chiu-Fang;Saaddine, Jinan B.
通讯作者：
Saaddine, Jinan B.
DOI：
10.5600/mmrr.004.04.b02
发表时间：
2014-01-01
期刊：
Medicare & medicaid research review
影响因子：
--
作者：
Parker, Jessie L;Regan, Joseph F;Petroski, Jason
通讯作者：
Petroski, Jason
影响因子：
1.8
作者：
Spencer, Christine;Frick, Kevin;Wolff, Jennifer L.
通讯作者：
Wolff, Jennifer L.