Patients' Perceptions of Integrated Care Among Medicare Beneficiaries by Level of Need for Health Services.

Medical care research and review : MCRR Pub Date : 2022-10-01 Epub Date: 2022-01-10 DOI:10.1177/10775587211067897
Nancy Song, Molly Frean, Christian T Covington, Maike Tietschert, Emilia Ling, Hassina Bahadurzada, Michaela Kerrissey, Mark Friedberg, Sara J Singer
{"title":"Patients' Perceptions of Integrated Care Among Medicare Beneficiaries by Level of Need for Health Services.","authors":"Nancy Song,&nbsp;Molly Frean,&nbsp;Christian T Covington,&nbsp;Maike Tietschert,&nbsp;Emilia Ling,&nbsp;Hassina Bahadurzada,&nbsp;Michaela Kerrissey,&nbsp;Mark Friedberg,&nbsp;Sara J Singer","doi":"10.1177/10775587211067897","DOIUrl":null,"url":null,"abstract":"<p><p>Requirements for integrating care across providers, settings, and over time increase with patients' needs. Health care providers' ability to offer care that patients experience as integrated may vary among patients with different levels of need. We explore the variation in patients' perceptions of integrated care among Medicare beneficiaries based on the beneficiary's level of need using ordinary least square regression for each of four high-need groups: beneficiaries (a) with complex chronic conditions, (b) with frailties, (c) below 65 with disability, and (d) with any (of the first three) high needs. We control for beneficiary demographics and other factors affecting integrated care, and we conduct sensitivity analyses controlling for multiple individual chronic conditions. We find significant positive associations with level of need for provider support for self-directed care and medication and home health management. Controlling for multiple individual chronic conditions reduces effect sizes and number of significant relationships.</p>","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"640-649"},"PeriodicalIF":0.0000,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical care research and review : MCRR","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10775587211067897","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/1/10 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

Abstract

Requirements for integrating care across providers, settings, and over time increase with patients' needs. Health care providers' ability to offer care that patients experience as integrated may vary among patients with different levels of need. We explore the variation in patients' perceptions of integrated care among Medicare beneficiaries based on the beneficiary's level of need using ordinary least square regression for each of four high-need groups: beneficiaries (a) with complex chronic conditions, (b) with frailties, (c) below 65 with disability, and (d) with any (of the first three) high needs. We control for beneficiary demographics and other factors affecting integrated care, and we conduct sensitivity analyses controlling for multiple individual chronic conditions. We find significant positive associations with level of need for provider support for self-directed care and medication and home health management. Controlling for multiple individual chronic conditions reduces effect sizes and number of significant relationships.

患者对医疗保险受益人中综合护理的看法按卫生服务需求的水平。
随着患者需求的增加,对跨提供者、环境和时间整合护理的要求也在增加。医疗保健提供者为患者提供综合护理的能力可能因不同需求水平的患者而异。我们根据受益人的需求水平,对四种高需求群体中的每一组使用普通最小二乘回归来探索患者对医疗保险受益人之间综合护理感知的变化:受益人(a)患有复杂慢性疾病,(b)身体虚弱,(c) 65岁以下残疾,以及(d)任何(前三种)高需求。我们控制了受益人人口统计和其他影响综合护理的因素,并进行了控制多种个体慢性疾病的敏感性分析。我们发现,在自我指导护理、药物治疗和家庭健康管理方面,对提供者支持的需求水平显著正相关。控制多个个体慢性疾病减少了效应大小和显著关系的数量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信