Overall quality of life and difficulty paying for ostomy supplies in the Veterans Affairs ostomy health-related quality of life study: an exploratory analysis.

Abstract:

PURPOSE:To explore whether there was a significant relationship between difficulty paying for ostomy supplies and overall quality of life among a sample of ostomates receiving care from the Veterans Health Administration (VHA). METHODS:The data were collected as part of the Veterans Affairs (VA) Ostomy Health-Related Quality of Life Study, in which 511 respondents (239 cases, 272 controls) completed a survey instrument that included the modified City of Hope Quality of Life (mCOH-QOL) Ostomy questionnaire, SF-36V, and sociodemographic items. Responses from the 239 cases (ie, patients with intestinal stomas) were used in this analysis. The modified City of Hope Quality of Life Ostomy questionnaire item, "How good is your overall quality of life?," was the dependent variable for this analysis. The primary independent variable was the response (yes/no) to the item, "If you pay for any of the (ostomy) costs, is it difficult for you?" A hierarchical regression model was used to examine whether difficulty paying was significantly related to overall quality of life after adjusting for age, income, race/ethnicity, and physical health. RESULTS:After accounting for the proportion of variance explained by age, income, race/ethnicity, and physical health, the additional proportion of variance explained by difficulty paying was statistically significant. Individuals reporting difficulty paying had a roughly 1 point lower (ie, beta-coefficient = -1.052; SE = 0.481) overall quality of life score on the 11-point scale. CONCLUSIONS:We found a significant association between difficulty paying for ostomy supplies and overall quality of life. Although the cross-sectional study design does not allow causal inference, the results suggest a relationship that merits further examination.

journal_name

Med Care

journal_title

Medical care

authors

Coons SJ,Chongpison Y,Wendel CS,Grant M,Krouse RS

doi

10.1097/MLR.0b013e318074ce9b

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

891-5

issue

9

eissn

0025-7079

issn

1537-1948

pii

00005650-200709000-00012

journal_volume

45

pub_type

杂志文章
  • Boston Working Group on Improving Health Care Outcomes Through Geriatric Rehabilitation.

    abstract::Geriatric rehabilitation is a multidisciplinary set of evaluative, diagnostic, and therapeutic interventions whose purpose is to restore functional ability or enhance residual functional capability in elderly people with disabling impairments. The Boston Working Group on Improving Health Care Outcomes Through Geriatri...

    journal_title:Medical care

    pub_type:

    doi:10.1097/00005650-199706001-00003

    authors:

    更新日期:1997-06-01 00:00:00

  • Physician gender affects how physician nonverbal behavior is related to patient satisfaction.

    abstract:BACKGROUND:Physician and patient gender both influence medical communication. Nonverbal behavior is generally under-researched in the medical encounter but plays an important role for patient outcomes such as satisfaction. OBJECTIVE:This article aims at identifying how specific physician nonverbal behaviors predict an...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31817e1877

    authors: Mast MS,Hall JA,Köckner C,Choi E

    更新日期:2008-12-01 00:00:00

  • Access to public mental health services: determinants of population coverage.

    abstract:OBJECTIVES:This study examined factors that affect access to Veterans Administration mental health services. METHODS:Data from national Veterans Affairs databases and the 1990 Decennial Census were used to estimate rates of Veterans Affairs mental health service use in each US county (n = 3,156) among all US veterans ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199804000-00006

    authors: Rosenheck R,Stolar M

    更新日期:1998-04-01 00:00:00

  • Cost-related Nonadherence to Medication Treatment Plans: Native Hawaiian and Pacific Islander National Health Interview Survey, 2014.

    abstract:BACKGROUND:Adherence to medication treatment plans is important for chronic disease (CD) management. Cost-related nonadherence (CRN) puts patients at risk for complications. Native Hawaiians and Pacific Islanders (NHPI) suffer from high rates of CD and socioeconomic disparities that could increase CRN behaviors. OBJEC...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000887

    authors: McElfish PA,Long CR,Payakachat N,Felix H,Bursac Z,Rowland B,Hudson JS,Narcisse MR

    更新日期:2018-04-01 00:00:00

  • A comparison of clinical performance of primary care and traditional internal medicine residents.

    abstract:OBJECTIVE:To compare primary care and traditional Internal Medicine residents in their adherence to preventive medicine guidelines, performance in the management of chronic diseases, and utilization of resources. DESIGN:Prospective cohort study. SETTING:Urban Internal Medicine residency program. PARTICIPANTS:Sixteen...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199908000-00007

    authors: Wong MD,Hollenberg JP,Charlson ME

    更新日期:1999-08-01 00:00:00

  • Validly interpreting patients' reports: using bifactor and multidimensional models to determine whether surveys and scales measure one or more constructs.

    abstract:INTRODUCTION:Validly interpreting scores based on patients' reports of their experiences using scales depends on a valid scoring system. The possibility exists that, although the creators of a scale intended to create a scale measuring a single construct, the questions may seem to measure more than one construct. Howev...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318266519e

    authors: Carle AC,Weech-Maldonado R

    更新日期:2012-09-01 00:00:00

  • Variation in the rate of cervical spine surgery in Washington State.

    abstract::Lack of consensus about the treatment of low back pain is reflected by wide regional variations in lumbar spine surgery rates. Neck pain may be as common as low back pain, but there has been no similar evaluation of regional variation for the surgical treatment of neck pain. This report examines the geographic variati...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199308000-00004

    authors: Einstadter D,Kent DL,Fihn SD,Deyo RA

    更新日期:1993-08-01 00:00:00

  • The estimation of a preference-based measure of health from the SF-12.

    abstract:BACKGROUND:The SF-12 is a multidimensional generic measure of health-related quality of life. It has become widely used in clinical trials and routine outcome assessment because of its brevity and psychometric performance, but it cannot be used in economic evaluation in its current form. OBJECTIVES:We sought to derive...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000135827.18610.0d

    authors: Brazier JE,Roberts J

    更新日期:2004-09-01 00:00:00

  • Application of functional independence measure-function related groups and resource utilization groups-version III systems across post acute settings.

    abstract:OBJECTIVES:The present study evaluated alternative patient classification systems for skilled nursing facility and rehabilitation facility patients. METHODS:Medicare patients were selected from a random sample of 27 rehabilitation facilities and 65 skilled nursing facilities participating in a national longitudinal st...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199805000-00009

    authors: Eilertsen TB,Kramer AM,Schlenker RE,Hrincevich CA

    更新日期:1998-05-01 00:00:00

  • Beyond health plans: behavioral health disorders and quality of diabetes and asthma care for Medicaid beneficiaries.

    abstract:BACKGROUND:Most health insurance plans monitor ambulatory care quality using the Healthcare Effectiveness Data and Information Set (HEDIS), publicly reporting results at the plan level. Plan-level comparisons obscure the influence of patients served or settings where care is delivered. Mental illness, substance abuse, ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318190db45

    authors: Clark RE,Weir S,Ouellette RA,Zhang J,Baxter JD

    更新日期:2009-05-01 00:00:00

  • Patient complexity and risk factor control among multimorbid patients with type 2 diabetes: results from the R2D2C2 study.

    abstract:BACKGROUND:Among patients with type 2 diabetes, it is not known whether risk factor control is better or worse for those who also have heart disease, depression, multiple other comorbidities, and associated management challenges. OBJECTIVE:To examine the relationship between this complex constellation of multimorbidit...

    journal_title:Medical care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MLR.0b013e318273119b

    authors: Malik S,Billimek J,Greenfield S,Sorkin DH,Ngo-Metzger Q,Kaplan SH

    更新日期:2013-02-01 00:00:00

  • Patients Negatively Impacted by Discontinuity of Nursing Care During Acute Hospitalization.

    abstract:BACKGROUND:Continuity of nursing care in hospitals remains poor and not prioritized, and we do not know whether discontinuous nursing care is negatively impacting patient outcomes. OBJECTIVES:This study aims to examine nursing care discontinuity and its effect on patient clinical condition over the course of acute hos...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000670

    authors: Yakusheva O,Costa DK,Weiss M

    更新日期:2017-04-01 00:00:00

  • Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions.

    abstract:BACKGROUND:Medicare's Nonpayment Program of 2008 (hereafter called Program) withholds hospital reimbursement for costs related to hospital-acquired conditions (HACs). Little is known whether a hospital's Medicare patient load [quantified by the hospital's Medicare utilization ratio (MUR), which is the proportion of inp...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000680

    authors: Thirukumaran CP,Glance LG,Temkin-Greener H,Rosenthal MB,Li Y

    更新日期:2017-05-01 00:00:00

  • Barriers to health care among people with disabilities who are members of underserved racial/ethnic groups: a scoping review of the literature.

    abstract:BACKGROUND:Understanding barriers to health care access experienced by people with disabilities who are members of underserved racial/ethnic groups is key to developing interventions to improve access. OBJECTIVE:To conduct a scoping review of the literature to examine the published literature on barriers to health car...

    journal_title:Medical care

    pub_type: 杂志文章,评审

    doi:10.1097/MLR.0000000000000195

    authors: Peterson-Besse JJ,Walsh ES,Horner-Johnson W,Goode TD,Wheeler B

    更新日期:2014-10-01 00:00:00

  • Evaluation of index and profile measures of health status in a randomized controlled trial. Comparison of the Medical Outcomes Study 36-Item Short Form Health Survey, EuroQol, and disease specific measures.

    abstract:OBJECTIVES:The authors compare two generic measures of health status with disease-specific measures in a randomized controlled trial of transurethral resection of the prostate with laser vaporization prostatectomy for benign prostatic hypertrophy. METHODS:Patients entered into the trial completed the following questio...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-199711000-00003

    authors: Jenkinson C,Gray A,Doll H,Lawrence K,Keoghane S,Layte R

    更新日期:1997-11-01 00:00:00

  • The recognition, diagnosis, and treatment of mental disorders by primary care physicians.

    abstract::A valid and reliable vignette-based measure of DSM-III psychiatric diagnostic knowledge was administered to practicing primary care physicians (PCPs; generally, internal and family practice medicine) and mental health professionals (MHPs, in psychiatry and psychology). Recognition, diagnosis, and treatment recommendat...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198909000-00003

    authors: Andersen SM,Harthorn BH

    更新日期:1989-09-01 00:00:00

  • Health Insurance Portability and Accountability Act of 1996: lessons from the States.

    abstract:OBJECTIVES:To assess the likely effects of the 1996 Health Insurance Portability and Accessibility Act (HIPAA), based on small firms' experiences under state small group insurance reforms that were similar in design to HIPAA. METHODS:Data on 17,818 small businesses (range, 2-50 employees) nationwide from the 1994 Nati...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199907000-00009

    authors: Hing E,Jensen GA

    更新日期:1999-07-01 00:00:00

  • Early Performance of Hospital Value-based Purchasing Program in Medicare: A Systematic Review.

    abstract:BACKGROUND:Under the Affordable Care Act, the Centers for Medicare and Medicaid Services has greatly expanded inpatient fee-for-value programs including the Hospital Value-based Purchasing (HVBP) program. Existing evidence from the HVBP program is mixed. There is a need for a systematic review of the HVBP program to in...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001354

    authors: Hong YR,Nguyen O,Yadav S,Etzold E,Song J,Duncan RP,Turner K

    更新日期:2020-08-01 00:00:00

  • Physician involvement in quality assurance.

    abstract::Effective physician involvement in quality assurance in hospitals is necessary both to identify problems in patient care and to bring about problem resolution. This report describes a controlled, longitudinal study designed to measure effects on physician performance of involving physicians in setting medical audit cr...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章

    doi:10.1097/00005650-198412000-00006

    authors: Sommers LS,Sholtz R,Shepherd RM,Starkweather DB

    更新日期:1984-12-01 00:00:00

  • Segmentation in local hospital markets.

    abstract::This study examines evidence of market segmentation on the basis of patients' insurance status, demographic characteristics, and medical condition in selected local markets in California in the years 1983 and 1989. Substantial differences exist in the probability patients may be admitted to particular hospitals based ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199301000-00004

    authors: Dranove D,White WD,Wu L

    更新日期:1993-01-01 00:00:00

  • Benchmarking Veterans Affairs Medical Centers in the delivery of preventive health services: comparison of methods.

    abstract:OBJECTIVE:To identify consistent provision of clinical preventive services, we sought to benchmark all acute care Veterans Affairs Medical Centers (VAMCs) against each other nationally on the basis of multiple evidence-based, performance measures to identify facilities performing consistently higher and lower than expe...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200206000-00011

    authors: Doebbeling BN,Vaughn TE,Woolson RF,Peloso PM,Ward MM,Letuchy E,BootsMiller BJ,Tripp-Reimer T,Branch LG

    更新日期:2002-06-01 00:00:00

  • Disparities in Care Experienced by American Indian and Alaska Native Medicare Beneficiaries.

    abstract:BACKGROUND:Little is known about the health care experiences of American Indians and Alaska Natives (AIANs) due to limited data. OBJECTIVE:The objective of this study was to investigate the health care experiences of AIAN Medicare beneficiaries relative to non-Hispanic Whites using national survey data pooled over 5 y...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001392

    authors: Martino SC,Elliott MN,Hambarsoomian K,Garcia AN,Wilson-Frederick S,Gaillot S,Weech-Maldonado R,Haviland AM

    更新日期:2020-11-01 00:00:00

  • Use of Medicare Claims Data for the Identification of Myocardial Infarction: The Reasons for Geographic And Racial Differences in Stroke Study.

    abstract:OBJECTIVES:Assess the validity of Medicare claims for identifying myocardial infarction (MI). METHODS:We used data from 9951 Medicare beneficiaries 65 years and above in the Reasons for Geographic And Racial Differences in Stroke study. Between 2003 and 2012, 669 participants had an MI identified and adjudicated throu...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001004

    authors: Colantonio LD,Levitan EB,Yun H,Kilgore ML,Rhodes JD,Howard G,Safford MM,Muntner P

    更新日期:2018-12-01 00:00:00

  • Predictors of older adults' longitudinal dental care use. Ten-year results.

    abstract::Our purpose was to identify factors predictive of reported dental care use by elders (65+) over a ten-year period in Massachusetts. The Massachusetts Health Care Panel Study began in 1974-75 (wave 1) as a statewide survey of 1625 noninstitutionalized elders. Wave 2 occurred in 1976, wave 3 in 1980, and wave 4 in 1985....

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199012000-00005

    authors: Gilbert GH,Branch LG,Orav EJ

    更新日期:1990-12-01 00:00:00

  • Predicting Primary Care Use Among Patients in a Large Integrated Health System: The Role of Patient Experience Measures.

    abstract:OBJECTIVE:Most Veterans Affairs (VA) Health Care System enrollees age 65+ also have the option of obtaining care through Medicare. Reliance upon VA varies widely and there is a need to optimize its prediction in an era of expanding choice for veterans to obtain care within or outside of VA. We examined whether survey-b...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001155

    authors: Wong ES,Maciejewski ML,Hebert PL,Reddy A,Liu CF

    更新日期:2019-08-01 00:00:00

  • The Challenge of Improving Breast Cancer Care Coordination in Safety-net Hospitals: Barriers, Facilitators, and Opportunities.

    abstract:BACKGROUND:Minority breast cancer patients tend to have higher rates of adjuvant treatment underuse. We implemented a web-based intervention that closes referral loops between surgeons and oncologists at inner-city safety-net hospitals serving high volumes of minority breast cancer patients to assist these hospitals an...

    journal_title:Medical care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MLR.0000000000000458

    authors: McAlearney AS,Murray K,Sieck C,Lin JJ,Bellacera B,Bickell NA

    更新日期:2016-02-01 00:00:00

  • Depression-free day to utility-weighted score: is it valid?

    abstract:BACKGROUND:Cost-utility analyses using formulas to convert depression-free days (DFDs) to utility-weighted scores are increasingly common. These formulas are based on linear extrapolation of data documenting the correlation between depression symptom severity and generic health-related quality of life. OBJECTIVE:We so...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000256971.81184.aa

    authors: Pyne JM,Tripathi S,Williams DK,Fortney J

    更新日期:2007-04-01 00:00:00

  • Enhancing protections for human participants in clinical and health services research: a continuing process.

    abstract::The authors provide brief information about the Department of Veterans Affairs (VA) and the Veterans Health Administration, to establish an understanding of this large, multifaceted organization. They then offer an overview of the VA's Office of Research and Development, with particular emphasis on recent and ongoing ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.MLR.0000023950.96307.BD

    authors: Feussner JR,Burris JF,McGlynn G,Lavori PW

    更新日期:2002-09-01 00:00:00

  • Predicting hospital utilization by the elderly. The importance of patient, physician, and hospital characteristics.

    abstract::This study developed an index of physician hospitalization practice style distinguishing physicians more prone to hospitalize patients from physicians less prone to hospitalize. The patients of physicians with markedly differing hospitalization styles are shown to be similar in such important characteristics as age, a...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198910000-00001

    authors: Roos NP

    更新日期:1989-10-01 00:00:00

  • Patient attitudes about two forms of printed oral contraceptive information.

    abstract::The desired form and style of written drug information for patients were assessed in a national survey of oral contraceptive (OC) users. These women were queried about two forms of OC information: a short insert included with dispensed drugs and a longer brochure delivered by the physician upon patient request. Longer...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197812000-00008

    authors: Mazis M,Morris LA,Gordon E

    更新日期:1978-12-01 00:00:00