针对65岁及以上医疗保险受益人的戒烟建议与医疗保健评级

Advice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65+

Health Services Research · 2016
被引 14
ABS 3

中文导读

研究分析了2012年医疗保险调查数据中26,432名65岁以上吸烟者,发现医生经常建议戒烟的患者对医疗服务的评价更积极,两者存在显著正相关。

Abstract

OBJECTIVE: To examine the relationship between physician advice to quit smoking and patient care experiences. DATA SOURCE: The 2012 Medicare Consumer Assessment of Healthcare Providers and Systems (MCAHPS) surveys. STUDY DESIGN: Fixed-effects linear regression models were used to analyze cross-sectional survey data, which included a nationally representative sample of 26,432 smokers aged 65+. PRINCIPAL FINDINGS: Eleven of 12 patient experience measures were significantly more positive among smokers who were always advised to quit smoking than those advised to quit less frequently. There was an attenuated but still significant and positive association of advice to quit smoking with both physician rating and physician communication, after controlling for other measures of care experiences. CONCLUSIONS: Physician-provided cessation advice was associated with more positive patient assessments of their physicians.

老年医学戒烟医疗保健质量患者体验医疗保险