東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

FindBook

Google Book

Amazon

博客來

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

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Health service use among elderly Medicare beneficiaries :/
其他題名:	Does membership in different health plan types and functional impairments impact health service use?
作者:	Lee, Ji Seon.
面頁冊數:	1 online resource (159 pages)
附註:	Source: Dissertations Abstracts International, Volume: 60-03, Section: A.
Contained By:	Dissertations Abstracts International60-03A.
標題:	Social work. -
電子資源:	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?
LDR:03490nmm a2200421K 4500 001 2365452
005 20231213130722.5
006 m o d
007 cr mn ---uuuuu
008 241011s1998 xx obm 000 0 eng d
020 $a 9780591927351
035 $a (MiAaPQ)AAI9838969
035 $a AAI9838969
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Lee, Ji Seon. $3 3706305
245 1 0 $a Health service use among elderly Medicare beneficiaries : $b Does membership in different health plan types and functional impairments impact health service use?
264 0 $c 1998
300 $a 1 online resource (159 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 60-03, Section: A.
500 $a Publisher info.: Dissertation/Thesis.
500 $a Advisor: Mui, Ada.
502 $a Thesis (Ph.D.)--Columbia University, 1998.
504 $a Includes bibliographical references
520 $a 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.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2023
538 $a Mode of access: World Wide Web
650 4 $a Social work. $3 644197
650 4 $a Health care. $3 2213177
650 4 $a Gerontology. $3 533633
650 4 $a Welfare. $3 3543853
650 4 $a Older people. $3 761975
650 4 $a Health services. $3 959271
653 $a Beneficiaries
653 $a Elderly
653 $a Functional impairments
653 $a Health service
653 $a Medicare
655 7 $a Electronic books. $2 lcsh $3 542853
690 $a 0452
690 $a 0769
690 $a 0351
690 $a 0630
710 2 $a ProQuest Information and Learning Co. $3 783688
710 2 $a Columbia University. $3 571054
773 0 $t Dissertations Abstracts International $g 60-03A.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9838969 $z click for full text (PQDT)