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Health service use among elderly Medicare beneficiaries : = Does membership in different health plan types and functional impairments impact health service use?

Record Type:	Electronic resources : Monograph/item
Title/Author:	Health service use among elderly Medicare beneficiaries :/
Reminder of title:	Does membership in different health plan types and functional impairments impact health service use?
Author:	Lee, Ji Seon.
Description:	1 online resource (159 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 60-03, Section: A.
Contained By:	Dissertations Abstracts International60-03A.
Subject:	Social work. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9838969click for full text (PQDT)
ISBN:	9780591927351

Health service use among elderly Medicare beneficiaries : = Does membership in different health plan types and functional impairments impact health service use?
Lee, Ji Seon.

Health service use among elderly Medicare beneficiaries :Does membership in different health plan types and functional impairments impact health service use? - 1 online resource (159 pages)

Source: Dissertations Abstracts International, Volume: 60-03, Section: A.

Thesis (Ph.D.)--Columbia University, 1998.

Includes bibliographical references

The 1993 Medicare Current Beneficiary Survey is used to examine the correlates of health service use (physician, outpatient department, and specialist visits) among elderly Medicare beneficiaries. Specifically two questions are evaluated: (1) the role of membership in different types of health plans in predicting health service use, and (2) the role of functional impairment in predicting health service use. The study focuses on elderly Medicare beneficiaries who are enrolled in health maintenance organizations (HMOs) and uses the elderly Medicare beneficiaries enrolled in traditional fee-for-service (FFS) plans as a comparison group. Andersen's Behavioral Model is used as the conceptual framework for analysis. The study presents a profile of Medicare beneficiaries enrolled in HMO and FFS plans and uses logistic regression modeling to determine if membership to different types of health plans and functional impairment are predictors of physician visits, outpatient department visits, and specialist visits. The study also uses ordinary least-squares regression to predict the total number of health service use. Findings from the study indicate differences in gender, race, living arrangement, income, region of residence, Medicaid eligibility, self-rated health status, and level of functional impairments among elderly Medicare beneficiaries enrolled in HMOs and FFS plans. Membership to different health plan types (HMO or FFS) had a significant impact on physician and specialist visits. However, functional impairments made a significant impact only on outpatient department visits. Membership to different health plan type and functional impairments had no impact on the total number of health service use. The study also found that satisfaction with care was an important predictor of health service use. Based on these findings, implications for social work practice and policies to improve access to care among functionally impaired elderly patients are discussed.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9780591927351Subjects--Topical Terms:

644197
Social work.
Subjects--Index Terms:

BeneficiariesIndex Terms--Genre/Form:

542853
Electronic books.

Health service use among elderly Medicare beneficiaries : = Does membership in different health plan types and functional impairments impact health service use?
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