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Am J Public Health. 1995 Mar;85(3):379-86.

Extended coverage for preventive services for the elderly: response and results in a demonstration population.

Author information

1
Health Services Research and Development Center, Johns Hopkins University, School of Hygiene and Public Health, Baltimore, MD 21205.

Abstract

OBJECTIVES:

This study was undertaken to test the acceptability of preventive services under Medicare waivers to a community-dwelling population aged 65 and over and to examine the effect of such services on health.

METHODS:

Medicare beneficiaries and designated primary care providers were sampled, and beneficiaries were screened and surveyed. A total of 4195 individuals were then randomized into intervention or control groups. Those in the intervention group were offered free preventive visits (under waivers) to their physicians. A follow-up survey of the entire group was administered after completion of the intervention.

RESULTS:

Sixty-three percent of the intervention group made a preventive clinical visit, and about half of them a counseling visit. For men, being married and having a solo practitioner were positively associated with accepting the intervention services, while for women, having had a mammogram, having a confidant, having a high school education, and having a female practitioner were so associated. The intervention group showed a greater health benefit than did the control group and had a significantly lower death rate: 8.3% vs 11.1%.

CONCLUSIONS:

Older individuals will respond to preventive programs, and such services will result in modest health gains.

PMID:
7892923
PMCID:
PMC1614862
[Indexed for MEDLINE]
Free PMC Article
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