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Titolo:
PARTICIPATION IN HEALTH PROMOTION PROGRAMS BY THE RURAL ELDERLY
Autore:
LAVE JR; IVES DG; TRAVEN ND; KULLER LH;
Indirizzi:
UNIV PITTSBURGH,GRAD SCH PUBL HLTH,DEPT HLTH SERV ADM PITTSBURGH PA 15261
Titolo Testata:
American journal of preventive medicine
fascicolo: 1, volume: 11, anno: 1995,
pagine: 46 - 53
SICI:
0749-3797(1995)11:1<46:PIHPPB>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
J.R. Lave et al., "PARTICIPATION IN HEALTH PROMOTION PROGRAMS BY THE RURAL ELDERLY", American journal of preventive medicine, 11(1), 1995, pp. 46-53

Abstract

The Health Care Financing Administration (HCFA) funded a series of demonstration programs to learn about the implications of extending coverage for disease prevention/health promotion services to Medicare beneficiaries. This article examines the use of such services by a rural population under this demonstration program. Individuals enrolled in the demonstration were eligible for specific risk reduction interventions. They were enrolled in one of two groups: (1) a hospital-based groupin which hospitals were paid a capitated fee for providing all services and (2) a physician-based group in which physicians were paid fee-for-service for providing each service. Chi-square tests of associationas well as logistic regression models were used to assess whether eligibility for services, and use of services by those eligible, varied by group and by sociodemographic characteristics. Forty-one percent were eligible for a nutrition program, 11% for smoking cessation, 2% for alcohol counseling, and 7% for dementia/depression evaluations. Participation in the programs varied across the programs and within programsby gender, education, and group assignment. Older rural Americans will use some disease prevention/health promotion services if they are covered by Medicare. Use will be higher among those with more education. Rural beneficiaries are more likely to use preventive services if encouraged to do so by their doctors rather than by hospital-based programs.

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Documento generato il 01/12/20 alle ore 07:27:25