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Multimorbidity, Mental Illness, and Quality of Care : Preventable Hospitalizations among Medicare Beneficiaries
Joint Authors
Wilkins, Tricia Lee
Ajmera, Mayank
Sambamoorthi, Usha
Findley, Patricia A.
Source
International Journal of Family Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-20
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Individuals with multimorbidity are vulnerable to poor quality of care due to issues related to care coordination.
Ambulatory care sensitive hospitalizations (ACSHs) are widely accepted quality indicators because they can be avoided by timely, appropriate, and high-quality outpatient care.
Objective.
To examine the association between multimorbidity, mental illness, and ACSH.
Study Design.
We used a longitudinal panel design with data from multiple years (2000–2005) of Medicare Current Beneficiary Survey.
Individuals were categorized into three groups: (1) multimorbidity with mental illness (MM/MI); (2) MM/no MI; (3) no MM.
Multivariable logistic regressions were used to analyze the association between multimorbidity and ACSH.
Results.
Any ACSH rates varied from 10.8% in MM/MI group to 8.8% in MM/No MI group.
Likelihood of any ACSH was higher among beneficiaries with MM/MI (AOR = 1.62; 95% CI = 1.14, 2.30) and MM (AOR = 1.54; 95% CI = 1.12, 2.11) compared to beneficiaries without multimorbidity.
There was no statistically significant difference in likelihood of ACSH between MM/MI and MM/No MI groups.
Conclusion.
Multimorbidity (with or without MI) had an independent and significant association with any ACSH.
However, presence of mental illness alone was not associated with poor quality of care as measured by ACSH.
American Psychological Association (APA)
Ajmera, Mayank& Wilkins, Tricia Lee& Findley, Patricia A.& Sambamoorthi, Usha. 2012. Multimorbidity, Mental Illness, and Quality of Care : Preventable Hospitalizations among Medicare Beneficiaries. International Journal of Family Medicine،Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-500940
Modern Language Association (MLA)
Sambamoorthi, Usha…[et al.]. Multimorbidity, Mental Illness, and Quality of Care : Preventable Hospitalizations among Medicare Beneficiaries. International Journal of Family Medicine No. 2012 (2012), pp.1-10.
https://search.emarefa.net/detail/BIM-500940
American Medical Association (AMA)
Ajmera, Mayank& Wilkins, Tricia Lee& Findley, Patricia A.& Sambamoorthi, Usha. Multimorbidity, Mental Illness, and Quality of Care : Preventable Hospitalizations among Medicare Beneficiaries. International Journal of Family Medicine. 2012. Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-500940
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500940