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Access and satisfaction within the disabled Medicare population.

M L Rosenbach1

  • 1Center for Health Economics Research, Waltham, MA 02154, USA.

Health Care Financing Review
|December 4, 1995
PubMed
Summary

Disabled Medicare beneficiaries with mental disabilities face greater barriers to care access and report lower satisfaction. These findings highlight disparities in healthcare delivery for this vulnerable population.

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Area of Science:

  • Health Services Research
  • Disability Studies
  • Health Policy

Background:

  • Limited understanding exists regarding healthcare access and satisfaction among disabled Medicare beneficiaries.
  • Medicare beneficiaries under 65 with disabilities represent a significant and diverse population with unique healthcare needs.

Purpose of the Study:

  • To investigate variations in healthcare access and satisfaction among disabled Medicare beneficiaries.
  • To compare experiences of beneficiaries with mental versus physical disabilities.

Main Methods:

  • Analysis of data from the Medicare Current Beneficiary Survey (MCBS).
  • Classification of beneficiaries under 65 by original reason for disability (mental vs. physical).

Main Results:

  • Beneficiaries with mental disabilities were less likely to have a private physician.
  • Lower satisfaction reported for overall quality, after-hours care, follow-up, and care coordination among those with mental disabilities.
  • Individuals with mental disabilities were more likely to report unmet healthcare needs, primarily due to supply barriers.

Conclusions:

  • Significant disparities in healthcare access and satisfaction exist between disabled Medicare beneficiaries with mental and physical disabilities.
  • Findings suggest a need for improved healthcare delivery systems and managed care program designs to address the needs of disabled Medicare beneficiaries, particularly those with mental health conditions.

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