Table 2 –
Odds of dissatisfaction with quality of care over the past year among Medicare beneficiaries by functional hearing lossa,b
| Variable | Adjustedb Odds Ratio(95% CI) | Standard Error | P-Value |
|---|---|---|---|
| Functional Hearing Loss | |||
| No trouble | REF | ||
| A little trouble | 1.496(1.079 – 2.073) | 0.246 | 0.016 |
| A lot of trouble | 1.769(1.175 – 2.664) | 0.365 | 0.007 |
| Usual Place of Care = Yes | 0.320(0.220 – 0.465) | 0.060 | <0.001 |
| Age (years) | |||
| 64 and younger | REF | ||
| 65–74 | 0.929(0.675 – 1.278) | 0.149 | 0.648 |
| 75 and older | 0.603(0.441 – 0.824) | 0.095 | 0.002 |
| Female | 1.070(0.799 – 1.434) | 0.158 | 0.647 |
| Race | |||
| Non-Hispanic White | REF | ||
| Non-Hispanic Black | 1.015(0.609 – 1.691) | 0.261 | 0.955 |
| Hispanic | 1.533(0.911 – 2.581) | 0.402 | 0.107 |
| Other | 1.754(1.000 – 3.078) | 0.497 | 0.050 |
| Educational attainment | |||
| Less than 9th grade | REF | ||
| High school or vocational, technical degree | 1.370(0.967 – 1.940) | 0.240 | 0.076 |
| More than high school | 1.199(0.836 – 1.721) | 0.218 | 0.320 |
| Income Greater or equal to $25,000 | 0.965(0.637 – 1.461) | 0.202 | 0.864 |
| Married = Yes | 0.583(0.407 – 0.834) | 0.105 | 0.004 |
| General health | |||
| Excellent | REF | ||
| Very good | 1.546(0.873 – 2.738) | 0.445 | 0.134 |
| Good | 2.684(1.515 – 4.755) | 0.774 | 0.001 |
| Fair | 2.979(1.559 – 5.692) | 0.972 | 0.001 |
| Poor | 4.921(2.661 – 9.100) | 1.524 | <0.001 |
| Functional limitations | |||
| No functional limitations | REF | ||
| only IADLs | 1.418(0.769 – 2.613) | 0.437 | 0.260 |
| 1–2 ADLs | 1.761(1.107 – 2.800) | 0.412 | 0.017 |
| 3–4 ADLs | 1.934(1.171 – 3.195) | 0.489 | 0.011 |
| 5–6 ADLs | 2.310(1.291 – 4.132) | 0.677 | 0.005 |
| Chronic Comorbidities Count** | |||
| 0 | REF | ||
| 1–2 | 0.905(0.371 – 2.208) | 0.407 | 0.825 |
| 3–5 | 0.718(0.287– 1.796) | 0.332 | 0.475 |
| ≥ 6 | 0.784(0.301 – 2.040) | 0.378 | 0.614 |
IADL – Instrumental Activity of Daily Living, ADL – Activity of Daily Living, Ref – Reference
Data derived from the 2015 Medicare Current Beneficiary Survey public use file (n=11,441)
Survey weights applied according to Medicare Current Beneficiary Survey (weighted n = 48,562,591)
Logistic regression model adjusted for usual place of care, age, sex, race/ethnicity, education, income, marital status, general health, functional limitations, and chronic comorbidities count (cancer, chronic obstructive pulmonary disease/asthma, chronic heart disease, serious mental illness, acute myocardial infarction, hypertension, diabetes, stroke, depression, arthritis, dementia or Alzheimer disease)