Patients’ Perceptions of Integrated Care Among Medicare Beneficiaries by Level of Need for Health Services-Reference-Cited by-同舟云学术

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

Published:2022-01-10 Issue:5 Volume:79 Page:640-649
ISSN:1077-5587
Container-title:Medical Care Research and Review
language:en
Short-container-title:Med Care Res Rev

Author:

Song Nancy¹^ORCID,Frean Molly²,Covington Christian T.³,Tietschert Maike¹,Ling Emilia¹,Bahadurzada Hassina¹,Kerrissey Michaela⁴^ORCID,Friedberg Mark⁵,Singer Sara J.¹⁶

Affiliation:

1. Stanford University School of Medicine, CA, USA

2. University of Pennsylvania, Philadelphia, USA

3. Broad Institute of MIT and Harvard, Cambridge, MA, USA

4. Harvard University Chan School of Public Health, Boston, MA, USA

5. RAND Corporation, Boston, MA, USA

6. Stanford Graduate School of Business, CA, USA

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.

Funder

Commonwealth Fund

Publisher

SAGE Publications

Subject

Health Policy

Link

http://journals.sagepub.com/doi/pdf/10.1177/10775587211067897

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