Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 7.0 Figures and Tables
Figure 1. How System and Individual Components Affect Quality of Care Disparities in Older Adults
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 6.0 References
Adams AS, Trinacty CM, Zhang F, Kleinman K, Grant RW, Meigs JB, Soumerai SB, Ross-Dignan D. Medication adherence and racial differences in A1c control. Diabetes Care. 2008;31:916-921.
Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. National Healthcare Quality Report, 2008. (2008). Available onlin
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 5.3 Implications and Recommendations
Efforts are needed to address persistent disparities in care based on race/ethnicity, socioeconomic status and gender, and for subgroups at particular risk.
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 5.2 Key Findings on Disparities in Care for Older Adults
To fill the gap in the literature about consistent disparities in quality of care for midlife vs. older adults, we conducted new analyses, taking advantage of a large, nationally representative sample of Americans evaluated in the MEPS. Analyses showed that racial/ethnic differences were prominent for effectiveness measures, with results favoring
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 5.1 Challenges in Assessing Disparities in Quality of Care for Older Adults
A major task of this report—categorization of select measures of diabetes quality of care, along with certain cardiovascular and depression care measures—revealed some important themes in limitations of existing research on disparities, particularly in care for older adults. First, most health care measures for priority conditions in older adu
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 5.0 Summary and Recommendations
This report developed a conceptual model for assessing quality of care disparities among midlife and older adults; summarized key literature findings on quality of care for diabetes, cardiovascular conditions and depression; and conducted quantitative analyses to address disparities in care among midlife and older adults with diabetes and cardiova
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 4.4 Discussion
The analysis sought to describe the relationship between health insurance coverage and the quality of care that men and women experience. The most significant, consistent findings were related to access to care. For the most part, women were significantly more likely than men to report delays in care. Differences were exhibited among midlife adult
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 4.3 Results
Table 11 shows the distribution of the key independent variables of interest among the study population. To facilitate the multivariate analyses, only persons with complete data on all analytic variables were included in the study sample (hence, the sample for this analysis differs from the previous analysis reported in Chapter 3.0, which did not
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 4.2 Methods
Nationally representative MEPS data were used to examine the relationship of age, gender and insurance status to quality of care among Americans with diabetes and cardiovascular conditions. Persons with missing education or insurance status data were excluded from the analysis (6 percent each for the diabetes and cardiovascular condition populatio
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 4.1 Background
Collectively, diabetes and cardiovascular disease account for nearly 30 percent of all deaths in the U.S. and an estimated $623 billion in direct and indirect medical costs (AHRQ 2008; CDC 2009). These diseases are among the most prevalent chronic conditions in midlife and older adult populations 45 and older. Their impact on overall health and di
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 3.4 Discussion
Although analysis results did not exhibit consistent patterns, several findings are worth noting. The most consistent finding was related to access to care. Women more often reported experiencing one or more delays in care compared to men, and delays were significantly more common among the 45–64 age groups than in the ≥65 age group. These fin
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 3.3 Results
Sociodemographic Characteristics of Midlife and Older Adults With Diabetes and Cardiovascular Conditions
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 3.1 Background
Although disparities in the use of health services by race and income have diminished since Medicare's implementation, recent studies suggest that marked health care disparities persist among Medicare beneficiaries. Racial/ethnic minority beneficiaries fare worse than their White counter-parts on numerous measures of health status and care. For ex
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). Summary
This targeted review of the literature offers several key conclusions:
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 2.6 Interventions to Reduce Disparities in Diabetes and Other Priority Conditions (Cardiovascular Disease and Depression)
Despite the overarching goal of Healthy People 2010—to reduce or eliminate disparities by 2010 (U.S. Department of Health and Human Services 2000a)—most disparity studies do not explicitly address the reasons for disparities in health care. There are suggestions that the provision of lower quality of care could be an important influence in dis
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 2.5 Disparities in Other Priority Conditions: Examples From Cardiovascular Care and Depression
The paucity of diabetes literature examining quality of care disparities based on individual factors other than race/ethnicity, and which also differentiate between midlife and older adults who have different health insurance coverage situations that could affect care, is similar for other priority conditions. This section briefly highlights the l
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 2.4 Disparities in Diabetes Quality of Care
Defining a Health Care Quality Measure
Although many measures are available to assess quality of care, this report focuses on clinical performance measures. Previous authors have defined clinical performance measures as
