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
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 2.3 Disparities in Diabetes Complications
Diabetes can lead to serious complications, including blindness, cardiovascular disease, kidney damage and lower-limb amputations, although proper management and quality care can reduce the risk of complications (CDC 2007a). The majority of disparities literature on diabetes complications focuses on race and ethnicity differences and pays less att
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 2.2 Disparities in Diabetes Prevalence Rates
Diabetes, a priority condition in the U.S., is a group of diseases characterized by high blood glucose levels, resulting from defects in insulin secretion or action (Centers for Disease Control and Prevention [CDC] 2007a). It is the sixth leading cause of death in the U.S., and incurs annual medical costs of over $100 billion (Agency for Healthcar
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 2.1 Conceptual Framework
Figure 1 presents the overarching conceptual model for understanding disparities in quality of care. This model is designed specifically to reflect a multilevel approach, documenting individual and system-wide factors that may contribute to quality of care along domains delineated by the IOM. The IOM has defined six qualities of care domains: safe
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 2.0 Conceptual Framework and Literature Review: Disparities in Diabetes and Other Priority Conditions
Racial/ethnic disparities in health outcomes exist among midlife and older adults. These include disparities in mortality and quality of care associated with diabetes, cardiovascular disease and other chronic conditions (Gee and Payne-Sturges 2004; U.S. Department of Health and Human Services [HHS] 2000). While it is not always clear why dispariti
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). 1.0 Introduction
In 2011, the first of the post-World War II "baby boom"; generation will reach age 65 and become eligible for Medicare. The cost implications of the entry of baby boomers into Medicare have been widely discussed (Keehan et al 2008) but less attention has been paid to the implications for health care quality. The health insurance characteristics of
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65). Executive Summary
In 2011, the first of the post-World War II "baby boom"; generation will reach age 65 and become eligible for Medicare. The cost implications of the entry of baby boomers into Medicare have been widely discussed, but less attention has been paid to the implications for health care quality. This report discusses disparities in care of baby boom pat
Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65)
Prepared under Contract from
the Agency for Healthcare Research and Quality and
the Office of the Assistant Secretary for Planning and Evaluation
Purchase Order HHSP233200800278A
Judy Ng, PhD
Sarah Hudson Scholle, MPH, DrPH
National Committee for Quality Assurance
Washington, DC
ABSTRACT
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