Format

Send to

Choose Destination
J Immigr Minor Health. 2018 Aug;20(4):776-783. doi: 10.1007/s10903-017-0582-8.

Racial/Ethnic Differences in Those Accompanying Medicare Patients to the Doctor: Insights from the 2013 Medicare Current Beneficiary's Survey.

Author information

1
Office of Public Health Studies, University of Hawai'i at Manoa, 1960 East-West Road, Biomed D104-G, Honolulu, HI, 96821, USA. tsentell@hawaii.edu.
2
Section on Biomarkers and Prediction Modeling, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
3
Puerto Rico Clinical and Translational Research Consortium, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.
4
School of Dentistry, Meharry Medical College, Nashville, TN, USA.
5
Morehouse School of Medicine, Atlanta, GA, USA.
6
Daniel K. Inouye College of Pharmacy, University of Hawai'i at Hilo, Hilo, HI, USA.

Abstract

Surprisingly little current, population-level detail exists regarding companion accompaniment for health care among Medicare beneficiaries, particularly by race/ethnicity. For respondents in the 2013 Medicare Current Beneficiary's Survey Access to Care public use data (Nā€‰=ā€‰12,253), multivariable models predicted accompaniment to the doctor by race/ethnicity, adjusting for confounders. Chi square analyses compared, by race/ethnicity, who was accompanying and why. Overall, 37.5% of beneficiaries had accompaniment. In multivariable analyses, non-Hispanic blacks (OR 1.18; 95% CI 1.03-1.36) and Hispanics (OR 1.47; 95% CI 1.25-1.74) were significantly more likely than non-Hispanic whites to have accompaniment. Over 35% of all three groups had someone to "take notes," "ask questions," and/or "explain things," which did not vary by race/ethnicity; significant differences were seen for "explain instructions," "translate," and "moral support." Hispanics had the highest percentages for all three. Many Medicare beneficiaries have accompaniment to doctors' appointments, particularly in minority racial/ethnic groups, which should be considered in policy and practice.

KEYWORDS:

Caregiving; Health communication; Medicare; Race/ethnicity

PMID:
28405871
PMCID:
PMC5656534
[Available on 2019-08-01]
DOI:
10.1007/s10903-017-0582-8

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center