RESUMEN
OBJECTIVE: Patient activation questions from a major national Medicare survey are used to highlight characteristics of Medicare beneficiaries with low activation. We demonstrate that Medicare Current Beneficiary Survey (MCBS) data is an untapped resource for further research on patient activation within Medicare beneficiaries and programs. DATA SOURCE: Data are from the 2012 MCBS Access to Care file and include 10,650 beneficiaries. METHODS: Patient Activation levels were derived by taking the weighted average responses to the Patient Activation Supplement. Cut points for high, moderate, and low activation were assigned at +/- ½ standard deviation of the mean. Data were analyzed using SAS survey procedures. Within group comparisons were tested using chi-square tests with post hoc pairwise comparisons. Logistic regression identified predictors of low patient engagement. RESULTS: In a multiple logistic regression, beneficiary characteristics associated with low activation included Hispanic origin, being widowed or never married, select age groups, male gender, fair or poor health, difficulty with an IADL or ADLs, and having no usual source of care, with failure to complete high school as the strongest predictor (OR=2.22, p<.001). Utilization and costs were also examined in descriptive analyses. DISCUSSION: Overall, findings on the characteristics of low activation patients in the Medicare population resemble previous research. In a regression analysis, less education and no usual source of care are the strongest predictors of low activation levels in Medicare beneficiaries. The MCBS Patient Activation Supplement is a rich resource for examining patient activation in the Medicare population, and can be used for a wide range of analyses.
Asunto(s)
Medicare/estadística & datos numéricos , Participación del Paciente/estadística & datos numéricos , Factores de Edad , Anciano , Anciano de 80 o más Años , Femenino , Estado de Salud , Humanos , Masculino , Estado Civil , Persona de Mediana Edad , Factores Sexuales , Estados UnidosRESUMEN
The Medicare Current Beneficiary Survey (MCBS) is a large survey utilizing a nationally representative sample of the Medicare population. The MCBS collects data on a whole host of topics including health status, health insurance coverage and financing, access to care, knowledge and understanding of the Medicare Program, as well as use and effectiveness of new program benefits and changes.
Asunto(s)
Información de Salud al Consumidor , Recolección de Datos , Beneficios del Seguro , Medicare , Examen Físico/estadística & datos numéricos , Humanos , Estados UnidosRESUMEN
The Medicare Current Beneficiary Survey (MCBS) is a longitudinal survey of a nationally-representative sample of Medicare enrollees. The survey collects information on a variety of topics, including beneficiaries' health status; health care use and financing; and social, economic, and demographic characteristics. Medicare administrative data is regularly coupled with the information collected through the survey for validation purposes.