Evidence map›Paper›PMID 26119464›Full record

ArticleArchives of physical medicine and rehabilitation2015

Patient Satisfaction and Perceived Quality of Care Among Older Adults According to Activity Limitation Stages.

Hillary R Bogner, Heather F de Vries McClintock, Sean Hennessy, Jibby E Kurichi, Joel E Streim, Dawei Xie, Liliana E Pezzin, Pui L Kwong, Margaret G Stineman

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02626910 (Patient Centered Outcomes Research Institute), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
10.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02626910 completednot on this map

Patient Centered Outcomes Research Institute: Mrs. A and Mr. B

TypeobservationalSponsorUniversity of PennsylvaniaRan2013 to 2017Enrolled49ConditionsPhysical Disability
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  10. Disability Stages and Trouble Getting Needed Health Care Among Medicare Beneficiaries.American journal of physical medicine & rehabilitation · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Hillary R BognerDepartment of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA; Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address: hillary.bogner@uphs.upenn.edu.
Heather F de Vries McClintockDepartment of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA; Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Sean HennessyCenter for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Center for Pharmacoepidemiology Research and Training, University of Pennsylvania, Philadelphia, PA.
Jibby E KurichiCenter for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Joel E StreimGeriatric Psychiatry Section of the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; VISN 4 Mental Illness Research Education and Clinical Center, Philadelphia VA Medical Center, Philadelphia, PA.
Dawei XieCenter for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Liliana E PezzinDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Pui L KwongCenter for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Margaret G StinemanDepartment of Physical Medicine and Rehabilitation, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
University of Pennsylvania · USMedical College of Wisconsin · US

Funding

Ambulatory Care Access and QualityR01HD074756 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI HENNESSY, SEAN · 2013 to 2017
$2.0M
Staging Activity LimitationR01AG040105 · NIA · UNIVERSITY OF PENNSYLVANIA · PI HENNESSY, SEAN · 2012 to 2016
$1.2M
Adherence to Antidepressant Medication and Hypertension TreatmentR34MH085880 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BOGNER, HILLARY R · 2010 to 2012
$714k
Implementing care for depression and diabetesR21MH094940 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BOGNER, HILLARY R · 2012 to 2013
$432k
NIA NIH HHS R01 AG040105NIA NIH HHS R01AG040105NICHD NIH HHS R01 HD074756NICHD NIH HHS R01HD074756NIMH NIH HHS R21 MH094940NIMH NIH HHS R34 MH085880
6 · The paper itself

Abstract

objectiveTo examine whether patient satisfaction and perceived quality of medical care are related to stages of activity limitations among older adults.

designCross-sectional study.

settingMedicare Current Beneficiary Survey (MCBS) for calendar years 2001 to 2011.

participantsA population-based sample (N=42,584) of persons aged ≥65 years living in the community.

interventionsNot applicable.

main outcome measuresMCBS questions were categorized under 5 patient satisfaction and perceived quality dimensions: care coordination and quality, access barriers, technical skills of primary care physicians, interpersonal skills of primary care physicians, and quality of information provided by primary care physicians. Persons were classified into a stage of activity limitation (0-IV) derived from self-reported difficulty levels performing activities of daily living (ADL) and instrumental ADL.

resultsCompared with older beneficiaries with no limitations at ADL stage 0, the adjusted odds ratios (ORs) for stage I (mild) to stage III (severe) for satisfaction with care coordination and quality ranged from .85 (95% confidence interval [CI], .80-.92) to .79 (95% CI, .70-.89). Compared with ADL stage 0, satisfaction with access barriers ranged from OR=.81 (95% CI, .76-.87) at stage I to a minimum of OR=.67 (95% CI, .59-.76) at stage III. Similarly, compared with older beneficiaries at ADL stage 0, perceived quality of the technical skills of their primary care physician ranged from OR=.87 (95% CI, .82-.94) at stage I to a minimum of OR=.81 (95% CI, .72-.91) at stage III.

conclusionsMedicare beneficiaries at higher stages of activity limitation, although not necessarily the highest stage of activity limitation, reported less satisfaction with medical care.

Indexed as

Activities of Daily LivingPatient SatisfactionQuality of Health CareAgedAged, 80 and overFemaleHumansMaleMedicarePersons with DisabilitiesSurveys and QuestionnairesUnited StatesAgedDisabled personsMedicarePatient satisfactionRehabilitation

Identifiers

PMID26119464
PMCPMC4758213
OpenAlexW1878560180

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.