Article Figures & Data
Tables
- Table 1. Characteristics of Medical Expenditure Panel Survey Respondents by Year 1 Hospitalization, 2000 to 2009*
Characteristics Hospitalizations in Year 1 Overall (n = 50,978; 100%) None (n = 46,356; 91.4%) ≥1 Elective (n = 2,584; 4.9%) ≥1 Emergent (n = 2,515; 4.5%) Year 2 patient satisfaction quartile First (least satisfied) 21.9 21.2 24.4 21.9 Second 26.8 27.5 27.4 26.9 Third 23.5 22.2 21.1 23.3 Fourth (most satisfied) 27.8 29.1 27.2 27.8 Mean age (years) 48.1 58.0 55.4 48.7 Female sex 56.5 60.7 56.8 56.7 Race/ethnicity White 75.6 78.6 74.8 75.7 Hispanic 9.2 7.0 8.7 9.1 Black 9.9 10.7 13.3 10.0 Other 5.4 3.8 3.2 5.2 Education <High school 5.3 7.5 10.8 5.6 Some high school 9.9 12.2 15.7 10.2 High school graduate 30.4 31.9 35.7 30.7 Some college 30.5 26.5 17.0 29.8 College graduate 30.5 26.5 17.0 29.8 Household income (% FPL) <100% 9.3 13.5 17.0 9.8 100–124% 3.4 5.3 7.7 3.7 125–199% 11.9 15.3 18.1 12.3 200–399% 30.2 29.5 28.8 30.1 ≥400% 45.1 36.4 28.4 44.1 Urban MSA (vs. nonurban) 82.2 77.2 79.7 81.9 Region Northeast 19.3 16.9 19.0 19.2 Midwest 23.2 25.1 23.6 23.3 South 35.8 39.4 39.9 36.2 West 21.7 18.5 17.4 21.4 Insurance coverage Private insurance 76.9 69.2 55.4 75.8 Public 14.7 27.3 38.1 16.1 None 8.4 3.5 6.4 8.1 Has usual source of care 85.1 91.1 91.5 85.6 Chronic diseases (mean)† 1.0 2.1 1.8 1.0 PCS-12‡ (mean score) 49.0 38.1 39.5 48.1 MCS-12‡ (mean score) 50.6 46.7 47.8 50.4 Self-rated health Excellent 22.8 11.1 6.5 21.7 Very good 35.5 23.4 18.7 34.4 Good 28.1 31.6 30.4 28.4 Fair 10.6 20.8 27.5 11.6 Poor 2.9 13.1 16.9 3.9 Healthcare utilization Office visits, mean 4.4 9.8 10.4 4.9 Drug prescriptions, mean 15.2 37.8 33.4 16.7 Data are percentages unless otherwise indicated.
↵* Means and proportions are population-weighted.
↵† Chronic diseases include diabetes, hypertension, coronary heart disease, myocardial infarction, cerebrovascular disease, asthma, emphysema, and arthritis.
↵‡ Scale has a population mean of 50; higher scores indicate higher function.
FPL, federal poverty level; MCS-12, 12-item Short Form Mental Component Summary; MSA, metropolitan statistical area; PCS-12, 12-item Short Form Physical Component Summary.
- Table 2. Year 1 Predictors of a Quartile Increase in Year 2 Satisfaction Among Medical Expenditure Panel Survey Respondents, 2000 to 2009 (N = 50,978)*
Independent Variables Adjusted OR (95% CI)* P Value ≥1 Elective hospitalizations 1.21 (1.11–1.32) <.001 ≥1 Emergent hospitalizations 1.01 (0.91–1.12) .87 Age (per 10 years) 1.13 (1.11–1.14) <.001 Female sex 1.05 (1.01–1.09) .01 Race/ethnicity White 1.0 (ref) — Hispanic 1.06 (0.99–1.14) .09 Black 1.22 (1.15–1.31) <.001 Other 0.78 (0.71–0.86) <.001 Education <High school 1.0 (ref) — Some high school 1.04 (0.92–1.14) .46 High school graduate 1.01 (0.93–1.10) .79 Some college 0.93 (0.85–1.01) .10 College graduate 0.84 (0.77–0.92) <.001 Household income (% FPL) <100% 1.0 (ref) — 100–124% 1.02 (0.90,1.15) .80 125–199% 0.95 (0.87–1.03) .22 200–399% 0.93 (0.86–1.00) .06 ≥400% 0.97 (0.89–1.06) .56 Urban MSA (vs. nonurban) 0.95 (0.89–1.00) .04 Insurance coverage Private insurance 1.0 (ref) — Public 1.06 (1.00–1.13) .06 None 0.79 (0.73–0.87) <.001 Has usual source of care (vs. none) 1.29 (1.20–1.39) <.001 Chronic diseases (per disease)† 1.02 (0.99–1.04) .13 PCS-12‡ (per 10-point increase) 1.27 (1.24–1.30) <.001 MCS-12‡ (per 10-point increase) 1.39 (1.36–1.42) <.001 Self-rated health Excellent 1.0 (ref) — Very good 0.75 (0.71–0.80) <.001 Good 0.67 (0.63–0.71) <.001 Fair 0.68 (0.62–0.74) <.001 Poor 0.86 (0.75–0.98) .03 Healthcare utilization Office visits (per visit) 1.00 (1.00–1.00) .21 Drug prescriptions (per 10) 1.04 (1.03–1.05) <.001 ↵* Ordinal logistic regression analyses predicting a quartile increase in year 2 satisfaction. Analyses also adjusted for U.S. region (Northeast, Midwest, South, and West) and Medical Expenditure Panel Survey panel year.
↵† Chronic diseases include diabetes, hypertension, coronary heart disease, myocardial infarction, cerebrovascular disease, asthma, emphysema, and arthritis.
↵‡ Scale has a population mean of 50; higher scores indicate higher function.
CI, confidence interval; FPL, federal poverty level; MCS-12, 12-item Short Form Mental Component Summary; MSA, metropolitan statistical Area; OR, odds ratio; PCS-12, 12-item Short Form Physical Component Summary.
- Table 3. Logistic Regression Analyses of Year 2 Satisfaction by Year 1 Elective and Emergent Hospitalizations among Medical Expenditure Panel Survey Respondents, 2000 to 2009 (N = 50,978)
Predictor Patient in Highest Year 2 Satisfaction Quartile (vs. Lower 3 Quartiles) P Value Adjusted OR (95% CI)* Adjusted % (95% CI)* Elective hospitalizations in year 1 0 1.0 (ref) 27.8 (27.2–28.4) <.001 ≥1 1.24 (1.11–1.39) 32.1 (29.8–34.4) Emergent hospitalizations in year 1 0 1.0 (ref) 28.0 (27.4–28.6) .49 ≥1 1.04 (0.93–1.17) 28.8 (26.5–31.1) ↵* Odds ratios (ORs) and percentages are adjusted for patient age, sex, education, household income, insurance status, usual source of care, race/ethnicity, geographic region, urban residence, Medical Expenditure Panel Survey panel year, the number of chronic diseases, 12-item Short Form Physical and Mental Component Summary scores, self-rated health, number of office visits, and number of drug prescriptions.
CI, confidence interval.
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