Understanding Medicare: Hearing Loss and Health Literacy.
Understanding Medicare: Hearing Loss and Health Literacy.
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DOI：
10.1111/jgs.16705
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发表时间：
2020-10
影响因子：
6.3
通讯作者：
Reed NS
中科院分区：
文献类型：
--
作者：
Willink A;Reed NS
医疗保险已成为一个日益复杂的计划，为受益人提供众多选择，这对其财务状况和获得护理的机会产生重要影响。尽管研究发现健康素养不佳是了解医疗保险的障碍，但有关听力损失患者的经历的信息却很少。这项研究调查了听力损失如何影响医疗保险受益人理解该计划、他们比较和审查计划选项的能力以及他们对现有信息的满意度。使用多元序数逻辑回归进行横断面分析。 2017 年美国医疗保险受益人全国代表性调查（医疗保险当前受益人调查 [MCBS]）。总共分析了 10,510 名医疗保险受益人，代表了应用了调查权重的 50,084,169 名受益人。主要结果是难以理解 Medicare，这是由 MCBS 问题决定的：“总体而言，您认为 Medicare 计划理解起来有多容易或困难？”感兴趣的预测指标是自我报告的听力损失，测量结果明确为无听力问题、有一点问题和听力有很大问题。协变量包括年龄、性别、种族、教育程度、相对于联邦贫困线的家庭收入、传统医疗保险或医疗保险优势的入学率、痴呆症诊断、视力问题以及慢性病的数量。与没有听力问题的人相比，有轻微或严重听力问题的 Medicare 受益人报告理解 Medicare 存在更大困难的几率分别增加 18%（95% 置信区间 [CI] 比值比 [OR] = 1.10–1.27）和 25%（95% CI OR = 1.07–1.47）。大约五分之一的听力损失医疗保险受益人表示，他们的听力使他们很难找到医疗保险信息。支持医疗保险受益人理解和导航该计划的现有工具必须不断发展，以满足听力损失患者的需求，听力损失是医疗保险受益人中非常普遍的一种情况。
Medicare has become an increasingly complex program to navigate with numerous choices available to beneficiaries with important implications for their financial exposure and access to care. Although research has identified poor health literacy as a barrier to understanding Medicare, little information is available on the experience of individuals with hearing loss. This study examined how hearing loss impacts Medicare beneficiaries in understanding the program, their ability to compare and review plan options, and their satisfaction with available information. Cross-sectional analysis using multivariate ordinal logistic regression. Nationally representative survey of Medicare beneficiaries in the United States (Medicare Current Beneficiary Survey [MCBS]) 2017. A total of 10,510 Medicare beneficiaries were analyzed, representing 50,084,169 beneficiaries with survey weights applied. The primary outcome was difficulty understanding Medicare, determined by this MCBS question: “Overall, how easy or difficult do you think the Medicare program is to understand?” The predictor of interest was self-reported hearing loss measured categorically as no trouble, a little trouble, and a lot of trouble hearing. Covariates included age, sex, race, educational attainment, household income relative to the federal poverty level, enrollment in either traditional Medicare or Medicare Advantage, dementia diagnosis, trouble with vision, and number of chronic conditions. Medicare beneficiaries with a little or a lot of trouble hearing had 18% (95% confidence interval [CI] odds ratio [OR] = 1.10–1.27) and 25% (95% CI OR = 1.07–1.47) increased odds of reporting greater difficulty with understanding Medicare, respectively, compared with those with no hearing trouble. About one in five Medicare beneficiaries with hearing loss identified that their hearing made it difficult to find Medicare information. The existing tools to support Medicare beneficiaries’ understanding and navigation of the program must evolve to meet the needs of those with hearing loss, a highly prevalent condition among Medicare beneficiaries.
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影响因子：
4.5
作者：
Sørensen K;Van den Broucke S;Fullam J;Doyle G;Pelikan J;Slonska Z;Brand H;(HLS-EU) Consortium Health Literacy Project European
通讯作者：
(HLS-EU) Consortium Health Literacy Project European
影响因子：
5.7
作者：
PARKER, RM;BAKER, DW;NURSS, JR
通讯作者：
NURSS, JR
影响因子：
12.7
作者：
Goman, Adele M.;Lin, Frank R.
通讯作者：
Lin, Frank R.
DOI：
10.1080/02724980443000151
发表时间：
2005-01-01
期刊：
QUARTERLY JOURNAL OF EXPERIMENTAL PSYCHOLOGY SECTION A-HUMAN EXPERIMENTAL PSYCHOLOGY
影响因子：
--
作者：
McCoy, SL;Tun, PA;Wingfield, A
通讯作者：
Wingfield, A
影响因子：
7.8
作者：
Deal, Jennifer A.;Reed, Nicholas S.;Altan, Aylin
通讯作者：
Altan, Aylin