Socioeconomic disparities in the use of home health services in a medicare managed care population

Vicki A. Freedman, Jeannette Rogowski, Steven L. Wickstrom, John Adams, Jonas Marainen, José J. Escarce

Research output: Contribution to journalReview article

11 Citations (Scopus)

Abstract

Objective. To investigate socioeconomic disparities in access to home health visits and durable medical equipment by persons enrolled in two Medicare managed care health plans. Data Sources. A telephone survey of 4,613 Medicare managed care enrollees conducted between April and October of 2000 and linked to administrative claims for a subsequent 12-month period. Study Design. We estimated a series of logistic regression models to determine which socioeconomic factors were related to home health visits and the use of durable medical equipment (DME) among Medicare managed care enrollees. Principal Findings. Controlling for health and demographic differences, Medicare managed care enrollees in the lowest tertile for nonhousing assets had 50 percent greater odds than those in the highest tertile of having one or more home health visits. All else equal, enrollees with less than a high school education had 30 percent lower odds than those who had graduated from high school of using durable medical equipment. Conclusions. Medicare managed care enrollees of low socioeconomic status do not appear to have reduced access to home health visits; however, use of durable medical equipment is considerably lower for enrollees with less than a high school education. Physicians and therapists working with Medicare managed care enrollees may want to actively target DME prescriptions to those with educational disadvantages.

Original languageEnglish (US)
Pages (from-to)1277-1297
Number of pages21
JournalHealth Services Research
Volume39
Issue number5
DOIs
StatePublished - Oct 1 2004

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Durable Medical Equipment
Managed Care Programs
Medicare
Health Services
House Calls
Health
Population
Logistic Models
Education
Information Storage and Retrieval
Telephone
Social Class
Prescriptions
Demography
Physicians

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Freedman, Vicki A. ; Rogowski, Jeannette ; Wickstrom, Steven L. ; Adams, John ; Marainen, Jonas ; Escarce, José J. / Socioeconomic disparities in the use of home health services in a medicare managed care population. In: Health Services Research. 2004 ; Vol. 39, No. 5. pp. 1277-1297.
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Socioeconomic disparities in the use of home health services in a medicare managed care population. / Freedman, Vicki A.; Rogowski, Jeannette; Wickstrom, Steven L.; Adams, John; Marainen, Jonas; Escarce, José J.

In: Health Services Research, Vol. 39, No. 5, 01.10.2004, p. 1277-1297.

Research output: Contribution to journalReview article

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AU - Rogowski, Jeannette

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AU - Escarce, José J.

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