Abstract:
BACKGROUND/OBJECTIVES:Nearly 38 million Americans have hearing loss. Understanding how sensory deficits such as hearing loss, which limit communication, impact satisfaction has implications for Medicare value-based reimbursement mechanisms. The aim of this study was to characterize the association of functional hearing loss and dissatisfaction with quality of health care over the past year among Medicare beneficiaries. METHODS:Cross-sectional study of satisfaction with quality of health care among Medicare beneficiaries with self-reported trouble hearing from the 2015 Medicare Current Beneficiaries Survey. There were 11,441 Medicare beneficiaries representing a 48.6 million total weighted nationally representative sample. RESULTS:Forty-eight percent of Medicare beneficiaries reported a little or a lot of trouble hearing. Medicare beneficiaries with a little trouble hearing (odds ratio=1.496; 95% confidence interval, 1.079-2.073; P=0.016) and a lot of trouble hearing (odds ratio=1.769; 95% confidence interval, 1.175-2.664; P=0.007) had 49.6% and 76.9% higher odds of being dissatisfied with the quality of their health care over the previous year, respectively. CONCLUSIONS:Medicare beneficiaries with functional hearing loss had higher odds of dissatisfaction with health care over the past year compared to those without functional hearing loss. Given Medicare's reliance on patient satisfaction as a value-based measure for hospital reimbursement, interventions to address hearing loss in the health care system are needed.
journal_name
Med Carejournal_title
Medical careauthors
Reed NS,Boss EF,Lin FR,Oh ES,Willink Adoi
10.1097/MLR.0000000000001419subject
Has Abstractpub_date
2021-01-01 00:00:00pages
22-28issue
1eissn
0025-7079issn
1537-1948journal_volume
59pub_type
杂志文章相关文献
MEDICAL CARE文献大全abstract:OBJECTIVES:This article compares a linear risk-adjusted model of medical expenditures for Medicare patients with a model that explicitly account for skewness in distribution of expenditures. METHODS:A model of expenditures and a model of the square root of expenditures, each expressed as linear combinations of risk ad...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000065127.88685.7D
更新日期:2003-06-01 00:00:00
abstract:RESEARCH OBJECTIVE:Pharmacists are an expensive and limited resource in the hospital and outpatient setting. A pharmacist can spend up to 25% of their day planning. Time spent planning is time not spent delivering an intervention. A readmission risk adjustment model has potential to be used as a universal outcome-based...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001075
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Little is known about the time health professionals spend with inpatients that are close to the end of life. SUBJECTS AND METHODS:We asked day-shift nurses to use a standardized log sheet to record how much time they spent in various categories of activity for 146 seriously ill medical inpatients with poor ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000053226.38288.18
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Estimating influenza vaccine effectiveness using an unvaccinated comparison group may result in biased effect estimates. OBJECTIVES:To explore the reduction of confounding bias in an active comparison of high-dose versus standard-dose influenza vaccines, as compared with vaccinated versus unvaccinated compa...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001018
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:The authors developed an "off-the-shelf" source of health-related quality of life (HRQL) scores for cost-effectiveness analysts unable to collect primary data. METHODS:The authors derived and conducted preliminary validation on a set of health-related quality of life scores for chronic conditions using nati...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199806000-00002
更新日期:1998-06-01 00:00:00
abstract:BACKGROUND:The association between volume of patients treated and quality of care has important implications for patient referral policies and approaches to quality improvement. Most studies have focused on hospital volume alone and health outcomes. OBJECTIVES:The objective of this work was to examine the association ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200011000-00004
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:Investigators have used a variety of operational definitions of nursing hours of care in measuring nurse staffing for health services research. However, little is known about which approach is best for nurse staffing measurement. OBJECTIVE:To examine whether various nursing hours measures yield different mo...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318277eb50
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:To estimate cost and outcomes of the Arthritis Foundation aquatic exercise classes from the societal perspective. DESIGN:Randomized trial of 20-week aquatic classes. Cost per quality-adjusted life year (QALY) gained was estimated using trial data. Sample size was based on 80% power to reject the null hypoth...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-200105000-00002
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVES:The relative performance of three widely used generic health status measures (EQ-5D, a modified HUI3 [mHUI3], and SF-12) was compared within a general population sample. MATERIALS AND METHODS:Data were taken from a cohort of persons identified from the patient list of a large general practice in York, UK. T...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000044901.57067.19
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:Readmission and length of stay (LOS) are increasingly accepted as quality measures for surgical care. Centers for Medicare & Medicaid Services will soon assess penalties for excessive readmissions after coronary artery bypass graft (CABG) surgery and hip and knee replacements. OBJECTIVE:To determine and com...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000528
更新日期:2016-06-01 00:00:00
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
更新日期:1997-11-01 00:00:00
abstract:BACKGROUND:Once just a small part of the Medicare program, private managed care plans now cover over one-third of all Medicare beneficiaries and cost the Federal government ~$210 billion each year. Importantly, the evolution of Medicare managed care policy has been far from linear; for several decades there have been d...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001256
更新日期:2020-03-01 00:00:00
abstract::Each physician's ability to treat disease is limited by his/her ability to discriminate among patients on the basis of risk. The relationship of physician expectation of outcome (prognosis) to actual outcome and to cost were determined for 1,757 patients seeking primary care. Outcome was measured by a seven-level func...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198202000-00005
更新日期:1982-02-01 00:00:00
abstract::Since the costs of nursing home care are a major component of the rapidly rising costs of health care, it is appropriate to base public policy discussions about cost containment on the determinants of nursing home costs. This article investigates the determinants of nursing home operating costs and reviews the results...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198111000-00004
更新日期:1981-11-01 00:00:00
abstract::An expository account of multiple time series analysis is presented. Modeling several related time series together makes it possible to ascertain dynamic leading, lagging, and feedback relationships among the series; to produce more efficient forecasts and, in some situations; to develop control schemes. Procedures fo...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::This article analyzes reported data on length of stay of discharged patients from the 1977 National Nursing Home Survey. Assuming that patients admitted to nursing homes are one of two types, short-stayers and long-stayers, the statistically best-fitting proportions and expected lengths of stay for the two types are d...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198103000-00011
更新日期:1981-03-01 00:00:00
abstract:CONTEXT:Small studies suggest that the quality of healthcare provided to older patients needs improvement. However, measuring the quality of care for larger groups of older adults is difficult. OBJECTIVE:To measure the quality of care in a community-dwelling vulnerable geriatric population using administrative data to...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318127143e
更新日期:2007-10-01 00:00:00
abstract::Legal factors related to the malpractice liability insurance purchased by general dentists in the United States were investigated using a comprehensive multivariate model that assessed the contribution of legal provisions affecting the probability of a malpractice claim, the probability of a payment, and the average s...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199508000-00001
更新日期:1995-08-01 00:00:00
abstract:BACKGROUND:In 2002 British Columbia, Canada began redistributing its hospital services. OBJECTIVE AND DESIGN:We used administrative data and interrupted time series analyses to determine how recent hospital closures affected patient outcomes. SUBJECTS:All adult acute myocardial infarction (AMI), stroke, and trauma ev...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000619
更新日期:2017-01-01 00:00:00
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
更新日期:2018-12-01 00:00:00
abstract::This study, based on household interviews of employed individuals and their families, examines the effects of type of health insurance program and various sociodemographic factors on patterns of use of preventive medical services. A major concern of the paper is to explore the issue of whether participants in prepaid ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-197605000-00002
更新日期:1976-05-01 00:00:00
abstract::Despite the dramatic fall in ischemic heart disease (IHD) mortality rates over the last 3 decades, it remains the number one cause of death in the United States, and one of the most frequent indications for care by the US Department of Veterans Affairs. National practice guidelines have been developed and disseminated...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND:Fried and colleagues described a frailty phenotype measured in the Cardiovascular Health Study (CHS). This phenotype is manifest when ≥3 of the following are present: low grip strength, low energy, slowed waking speed, low physical activity, or unintentional weight loss. We sought to approximate frailty phen...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000729
更新日期:2017-07-01 00:00:00
abstract::Data from a national survey of veterans are analyzed to determine how age, income, health insurance and service-connected disability influence the veteran's choice of Veterans Administration (VA) hospitalization. Log-linear analysis is used to provide a model that expresses in numerically quantifiable terms (odds and ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198203000-00008
更新日期:1982-03-01 00:00:00
abstract::The cost of obstetric care delivered in a cooperative care unit was compared with the cost for similar patients treated in a traditional inpatient maternity unit. The study sample contained 1,683 consecutive patients representing 23 diagnosis categories. The analysis indicates that cooperative care patients had signif...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198806000-00008
更新日期:1988-06-01 00:00:00
abstract:BACKGROUND:Health plans commonly face the conflicting demands of trying to provide access to novel technologies, including new classes of medications, while trying to contain costs. These demands are particularly acute for California's Medicaid program, known as Medi-Cal, which is responsible for delivery of medical ca...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199904001-00005
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:To investigate patterns of complementary and alternative medicine (CAM) use disclosure across medical and sociobehavioral factors and to provide a model that takes into account factors in explaining those patterns. SUBJECTS:A total of 21,849 CAM use episodes from 7347 respondents in the 2007 US National Heal...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000165
更新日期:2014-08-01 00:00:00
abstract::This study compares health insurance payments and patient utilization patterns for episodes of care for common lumbar and low back conditions treated by chiropractic and medical providers. Using 2 years of insurance claims data, this study examines 6,183 patients who had episodes with medical or chiropractic first-con...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199603000-00001
更新日期:1996-03-01 00:00:00
abstract:BACKGROUND:Labor unions have been a weak force in the medical marketplace. OBJECTIVES:To briefly review the history of physicians' and nurses' labor unions, explore the ethics of unions in medicine, and offer a solution that simultaneously serves patients and professionals. RESEARCH DESIGN:A selective review of the l...
journal_title:Medical care
pub_type: 评论,杂志文章
doi:10.1097/MLR.0000000000000123
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVES:Building on Andersen's behavioral model for the utilization of health care services, we examined factors associated with utilization of physician and hospital services among adults in Canada and the United States, with a focus on socioeconomic status (enabling resources in Andersen's framework). METHODS:Usi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181adcbe9
更新日期:2009-11-01 00:00:00