Association of Mobility Limitations With Health Care Satisfaction and Use of Preventive Care: A Survey of Medicare Beneficiaries
Abstract
Hoffman JM, Shumway-Cook A, Yorkston KM, Ciol MA, Dudgeon BJ, Chan L. Association of mobility limitations with health care satisfaction and use of preventive care: a survey of Medicare beneficiaries.
Objective
To examine the association between satisfaction with health care, the use of preventive health care, and mobility limitation.
Design
Cross-sectional analysis of survey data.
Setting
Community.
Participants
A total of 12,769 people, age greater than 65, who participated in the 2001 Medicare Current Beneficiary Survey.
Interventions
Not applicable.
Main Outcome Measures
Self-report of mobility limitation, satisfaction, and use of preventive health care (immunizations, cancer screening). Sampling weights were used in all analyses, including logistic regression for survey data, to calculate estimates for a Medicare population of 31 million.
Results
After controlling for sociodemographic characteristics, Medicare beneficiaries with mobility limitations were significantly more dissatisfied with their health care compared with beneficiaries without mobility limitations. Receipt of preventive care did not differ for those with and without mobility limitation on some preventive services.
Conclusions
Mobility limitation is highly associated with dissatisfaction with health care among older adult beneficiaries. Although Medicare beneficiaries may receive similar rates of preventive care, those with mobility limitation may have more difficulty accessing services and be more dissatisfied with their health care in general.
aDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA
bClinical Center, Department of Rehabilitation Medicine, National Institutes of Medicine, Bethesda, MD.
Correspondence to Jeanne M. Hoffman, PhD, Dept of Rehabilitation Medicine, University of Washington, Box 356490, Seattle, WA 98195-6490
Supported by the Centers for Disease Control and Prevention (grant no. MM-0625-04/04) through the Association of Academic Medical Centers.
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.
ABSTRACT