Table 3 –
Sensitivity analysis of odds of dissatisfaction with quality of care over the past year among Medicare beneficiaries by functional hearing loss including cognitive variablesa,b
| Variable | Adjustedc Odds Ratio(95% CI) | Standard Error | P-Value |
|---|---|---|---|
| Functional Hearing Loss | |||
| No trouble | REF | ||
| A little trouble | 1.453(1.044 – 2.022) | 0.242 | 0.027 |
| A lot of trouble | 1.707(1.175 – 2.664) | 0.360 | 0.013 |
| Usual Place of Care = Yes | 0.320(0.220 – 0.466) | 0.061 | <0.001 |
| Age (years) | |||
| 64 and younger | REF | ||
| 65–74 | 1.023(0.727 – 1.439) | 0.176 | 0.896 |
| 75 and older | 0.657(0.472 – 0.915) | 0.110 | 0.013 |
| Female | 1.032(0.766 – 1.390) | 0.155 | 0.835 |
| Race | |||
| Non-Hispanic White | REF | ||
| Non-Hispanic Black | 1.002(0.596 – 1.686) | 0.263 | 0.994 |
| Hispanic | 1.459(0.850 – 2.504) | 0.397 | 0.169 |
| Other | 1.737(0.998 – 3.023) | 0.485 | 0.051 |
| Educational attainment | |||
| Less than 9th grade | REF | ||
| High school or vocational, technical degree | 1.375(0.969 – 1.950) | 0.242 | 0.074 |
| More than high school | 1.190(0.828 – 1.712) | 0.218 | 0.344 |
| Income Greater or equal to $25,000 | 0.951(0.631 – 1.434) | 0.197 | 0.809 |
| Married = Yes | 0.596(0.418 – 0.849) | 0.107 | 0.005 |
| General health | |||
| Excellent | REF | ||
| Very good | 1.641(0.912 – 2.953) | 0.486 | 0.098 |
| Good | 2.762(1.530 – 4.985) | 0.822 | 0.001 |
| Fair | 3.080(1.581 – 6.000) | 1.035 | 0.001 |
| Poor | 4.945(2.645 – 9.246) | 1.560 | <0.001 |
| Functional limitations | |||
| No functional limitations | REF | ||
| only IADLs | 1.344(0.716 – 2.524) | 0.427 | 0.354 |
| 1–2 ADLs | 1.660(1.049 – 2.628) | 0.384 | 0.031 |
| 3–4 ADLs | 1.769(1.067 – 2.931) | 0.450 | 0.027 |
| 5–6 ADLs | 2.083(1.146 – 3.786) | 0.627 | 0.017 |
| Chronic Comorbidities Count | |||
| 0 | REF | ||
| 1–2 | 0.862(0.353 – 2.108) | 0.386 | 0.743 |
| 3–5 | 0.664(0.265– 1.166) | 0.307 | 0.378 |
| ≥ 6 | 0.689(0.259 – 1.829) | 0.339 | 0.450 |
| Memory Loss = Yes | 1.022(0.684 – 1.526) | 0.207 | 0.915 |
| Trouble Concentrating = Yes | 1.457(0.950 – 2.234) | 0.314 | 0.084 |
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, 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), self-report memory loss, and self-report trouble concentrating