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Titolo:
EXTENDED COVERAGE FOR PREVENTIVE SERVICES FOR THE ELDERLY - RESPONSE AND RESULTS IN A DEMONSTRATION POPULATION
Autore:
GERMAN PS; BURTON LC; SHAPIRO S; STEINWACHS DM; TSUJI I; PAGLIA MJ; DAMIANO AM;
Indirizzi:
JOHNS HOPKINS MED INST,SCH HYG & PUBL HLTH,CTR HLTH SERV RES & DEV,624 N BROADWAY BALTIMORE MD 21205
Titolo Testata:
American journal of public health
fascicolo: 3, volume: 85, anno: 1995,
pagine: 379 - 386
SICI:
0090-0036(1995)85:3<379:ECFPSF>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
COSTS; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
P.S. German et al., "EXTENDED COVERAGE FOR PREVENTIVE SERVICES FOR THE ELDERLY - RESPONSE AND RESULTS IN A DEMONSTRATION POPULATION", American journal of public health, 85(3), 1995, pp. 379-386

Abstract

Objectives. This study was undertaken-to test the acceptability of preventive services under Medicare waivers to a community-dwelling population aged 65 and over and to examine the effect of such services on health. Methods. Medicare beneficiaries and designated primary care providers were, sampled, and beneficiaries were screened and surveyed. A total of 4195 individuals were then randomized into intervention or control groups. Those in the intervention group were offered free preventive visits (under waivers) to their physicians. A follow-up survey ofthe entire group was administered after completion of the intervention. Results. Sixty-three percent of the intervention group made a preventive clinical visit, and about half of them a counseling visit. for men, being, married and having a solo practitioner were positively associated with accepting the intervention services, while for women, having had a mammogram, having a confidant, having a high school education, and having a female practitioner were so associated. The intervention group showed a greater health: benefit than did the control group and had a significantly lower death rate: 8.3% vs 11.1%. Conclusions. Older individuals will respond to preventive programs, and such serviceswill result in modest health gains.

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Documento generato il 05/12/20 alle ore 01:31:23