Patient Satisfaction and Perceived Quality of Care Among Older Adults According to Activity Limitation Stages.
Patient Satisfaction and Perceived Quality of Care Among Older Adults According to Activity Limitation Stages.
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DOI：
10.1016/j.apmr.2015.06.005
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发表时间：
2015-10
影响因子：
4.3
通讯作者：
Stineman MG
中科院分区：
文献类型：
--
作者：
Bogner HR;de Vries McClintock HF;Hennessy S;Kurichi JE;Streim JE;Xie D;Pezzin LE;Kwong PL;Stineman MG
To examine whether patient satisfaction and perceived quality of medical care was related to stages of activity limitations among older adults. Cross-sectional study. Medicare Current Beneficiary Survey (MCBS) for calendar years 2001-2011. A population-based sample (n= 42,584) of persons 65 years of age and older living in the community. Not applicable. MCBS questions were categorized under 5 patient satisfaction and perceived quality dimensions: care coordination and quality, access barriers, technical skills of primary care physicians, interpersonal skills of primary care physicians, and quality of information provided by primary care physicians. Persons were classified into a stage of activity limitation (0-IV) derived from self-reported difficulty levels performing activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Compared to older beneficiaries with no limitations at ADL Stage 0, the adjusted odds ratios (OR) (95% confidence intervals (CI)) for Stage I (mild) to Stage III (severe) for satisfaction with care coordination and quality ranged from OR = 0.85 (95% CI: 0.80-0.92) to OR = 0.79 (95% CI: 0.70-0.89). Compared to ADL Stage 0, satisfaction with access barriers ranged from OR = 0.81 (95% CI: 0.76-0.87) at Stage I (mild) to a minimum of OR = 0.67 (95% CI: 0.59-0.76) at Stage III (severe). Similarly, compared to older beneficiaries at ADL Stage 0, perceived quality of the technical skills of their primary care physician ranged from OR = 0.87 (95% CI: 0.82-0.94) at Stage I (mild) to a minimum of OR = 0.81 (95% CI: 0.72-0.91) at Stage III (severe). Medicare beneficiaries at higher stages of activity limitation although not necessarily the highest stage of activity limitation reported less satisfaction with medical care.
