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Purpose: The purpose of this study was to investigate the determinants of access to and satisfaction with health care from Medicare participants with hearing impairment. Method: Raw data for the study was obtained from the 2004 Medicare Current Beneficiary Survey (MCBS). Satisfaction with care was assessed using 10 of the MCBS questions probing satisfaction in a number of areas related to health care. The data were analyzed using logistic regression. This analysis was conducted in three steps. The first step involved identifying potentially important predisposing and enabling variables that influenced satisfaction with care using univariate analysis. The second step involved fitting the variables retained from the first step into a multiple logistic regression equation to determine a preliminary main effects model. The final analysis included determining the odds ratio for each independent variable retained from the earlier analysis. Results: Individuals with hearing impairment demonstrated some level of dissatisfaction with quality of health care. Each of the MCBS satisfaction questions were significantly (p50.05) associated with at least one of the communication variables. Conclusions: Understanding the effects of hearing impairment on satisfaction with health care is critical to the delivery of effective and efficient services to individuals with such disabilities.


Originally published in the Disability and Rehabilitation: An International, Multidisciplinary Journal. By: Informa Healthcare

ISSN 0963-8288 print/ISSN 1464-5165 online

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Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.