Socioeconomic Disparities in Medical Provider Visits among Medicare Managed Care Enrollees

This study examined socioeconomic disparities in medical provider visits for elderly people enrolled in two Medicare managed care plans. Controlling for health and demographic differences, elderly people of lower income had fewer primary care visits and those with lower education had fewer specialis...

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Main Authors: Jeannette Rogowski, Vicki A. Freedman, Steve L. Wickstrom, John Adams, José J. Escarce
Format: Article
Language:English
Published: SAGE Publishing 2008-02-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.5034/inquiryjrnl_45.01.112
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spelling doaj-bf2913aa364b48a3a2bce0e575263d7b2020-11-25T03:08:35ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95802008-02-014510.5034/inquiryjrnl_45.01.112Socioeconomic Disparities in Medical Provider Visits among Medicare Managed Care EnrolleesJeannette RogowskiVicki A. FreedmanSteve L. WickstromJohn AdamsJosé J. EscarceThis study examined socioeconomic disparities in medical provider visits for elderly people enrolled in two Medicare managed care plans. Controlling for health and demographic differences, elderly people of lower income had fewer primary care visits and those with lower education had fewer specialist visits. The number of emergency room visits was not significantly related to socioeconomic status (SES). People of low SES reported having more financial barriers to receiving care and greater difficulties navigating the managed care system than people of high SES. Further, elderly people of low SES had different degrees of belief in the efficacy of the medical system and of lifetime experiences with a usual source of medical care prior to Medicare, both of which were associated with differential use of medical providers.https://doi.org/10.5034/inquiryjrnl_45.01.112
collection DOAJ
language English
format Article
sources DOAJ
author Jeannette Rogowski
Vicki A. Freedman
Steve L. Wickstrom
John Adams
José J. Escarce
spellingShingle Jeannette Rogowski
Vicki A. Freedman
Steve L. Wickstrom
John Adams
José J. Escarce
Socioeconomic Disparities in Medical Provider Visits among Medicare Managed Care Enrollees
Inquiry: The Journal of Health Care Organization, Provision, and Financing
author_facet Jeannette Rogowski
Vicki A. Freedman
Steve L. Wickstrom
John Adams
José J. Escarce
author_sort Jeannette Rogowski
title Socioeconomic Disparities in Medical Provider Visits among Medicare Managed Care Enrollees
title_short Socioeconomic Disparities in Medical Provider Visits among Medicare Managed Care Enrollees
title_full Socioeconomic Disparities in Medical Provider Visits among Medicare Managed Care Enrollees
title_fullStr Socioeconomic Disparities in Medical Provider Visits among Medicare Managed Care Enrollees
title_full_unstemmed Socioeconomic Disparities in Medical Provider Visits among Medicare Managed Care Enrollees
title_sort socioeconomic disparities in medical provider visits among medicare managed care enrollees
publisher SAGE Publishing
series Inquiry: The Journal of Health Care Organization, Provision, and Financing
issn 0046-9580
publishDate 2008-02-01
description This study examined socioeconomic disparities in medical provider visits for elderly people enrolled in two Medicare managed care plans. Controlling for health and demographic differences, elderly people of lower income had fewer primary care visits and those with lower education had fewer specialist visits. The number of emergency room visits was not significantly related to socioeconomic status (SES). People of low SES reported having more financial barriers to receiving care and greater difficulties navigating the managed care system than people of high SES. Further, elderly people of low SES had different degrees of belief in the efficacy of the medical system and of lifetime experiences with a usual source of medical care prior to Medicare, both of which were associated with differential use of medical providers.
url https://doi.org/10.5034/inquiryjrnl_45.01.112
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