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Published on: November 11, 2021
Association between obesity and patient-centered measures using the medical expenditure panel survey
John A Batsis1, Matthew C Lohman2, Karen L Fortuna3
1Section of General Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States; Geisel School of Medicine at Dartmouth and The Dartmouth Institute for Health Policy & Clinical, United States; Dartmouth Centers for Health and Aging, Dartmouth College, Hanover, NH, United States; Health Promotion Research Center at Dartmouth, Lebanon, NH, United States; Dartmouth Weight & Wellness Center, Lebanon, NH, United States.
Abstract:
Patient-centeredness is an important factor in patient health and engagement but its association in patients with obesity is not thoroughly understood. Of 28,854 participants aged ≥60 from the Medical Expenditure Panel Survey 2004-2013, we evaluated four patient-centered domains: patient/provider relationship, shared-decision making, access to care, overall medical care provider rating, and prescription care. Weighted logistic (OR [95% CI]) and linear (β±s.e.; p-value) regression models demonstrated that participants as having obesity reported a marginally higher delay in getting the necessary care than healthy BMI (OR 1.25 [1.01, 1.53]). Older adults with obesity report reduced perceived access to care.
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