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Journal of Ambulatory Care Management:
doi: 10.1097/JAC.0b013e318267473b
Medical Outcomes Survey Part 2

Multiple Risk Factors and the Likelihood of Patient-Physician Communication and Health Maintenance Services in Medicare Health Plans

Ng, Judy H. PhD; Scholle, Sarah Hudson DrPH; Kong, Vivian W. MPH; Pawlson, L. Gregory MD, MPH

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Abstract

This study examined both individual and combined effects of race, education, and health-based risk factors on health maintenance services among Medicare plan members. Data were from 110 238 elderly completing the 2006 Medicare Health Outcomes Survey. Receipt of recommended patient-physician communication and interventions for urinary incontinence, physical activity, falls, and osteoporosis was modeled as a function of risk factors. Low education decreased the odds of receiving services; poor health increased odds. Race had little effect. Evidence suggested moderation among competing effects. While clinicians target services to most at-risk elderly individuals, patients with low education experience gaps. Synergies among co-occurring risks warrant further research.

© 2013 Lippincott Williams & Wilkins, Inc.

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