The overall purpose of this study was to determine the association between patients who talked to their doctor about their risk for falling or a balance problem and fall occurrence. This study analyzed a secondary data set based on the Medicare Health Outcomes Survey (HOS) for the Medicare Advantage patients 65 years and older. There were a total of 196,913 beneficiary records included and identified as Cohort 10, whose demographics, chronic medical conditions, physical health symptoms, management, including Fall Risk Management have been surveyed.
Chi-square test yielded findings showing significant relationship between patients talking to their doctor about a fall and balance problem and a previous fall occurrence. Test results on patient personal disposition such as educational level, gender, and race indicated an influence in patient communication behavior. Further, patients who talked to their doctor about a fall or balance problem facilitated the doctor to educate patient on how to prevent future falls. However, future investigation is recommended to ascertain true pre-dispositional factors that affect patient communication, in order to address any barriers that could impede patient-provider collaboration in prevention of falls.
|Commitee:||Reynolds, Grace, Sinay, Tony|
|School:||California State University, Long Beach|
|Department:||Health Care Administration|
|School Location:||United States -- California|
|Source:||MAI 53/06M(E), Masters Abstracts International|
|Subjects:||Gerontology, Health care management|
|Keywords:||Fall screening, Medicare, Older adults, Patient communication, Patient education, Provider communication|
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