التفاصيل البيبلوغرافية
| العنوان: |
Socioeconomic factors associated with uptake and satisfaction with a post‐hospitalization meals benefit in Medicare Advantage |
| المؤلفون: |
Richards, Anna L., Vallejo, Jessica, Duan, Lewei, Dinsdale, Mary P., Akiyama‐Ciganek, Jaime, Arakelian, Annet, Lee, Janet S., Shen, Ernest, Nguyen, Huong Q. |
| المصدر: |
Journal of the American Geriatrics Society ; ISSN 0002-8614 1532-5415 |
| بيانات النشر: |
Wiley |
| سنة النشر: |
2024 |
| المجموعة: |
Wiley Online Library (Open Access Articles via Crossref) |
| الوصف: |
Background Kaiser Permanente Southern California began offering a 4‐week supplemental benefit of home‐delivered meals to Medicare Advantage members after discharge from a hospitalization for heart failure and other medical conditions in 2021. The purpose of this study is to explore the associations between socioeconomic disadvantage and food insecurity with patient uptake of and satisfaction with the meals. Methods Data for this cross‐sectional study were drawn from survey and electronic medical record data for members referred for the meals benefit ( n = 6169) and linked to a hospitalization encounter ( n = 2254) between January and December 2021. Uptake was assessed using vendor records; measures of socioeconomic status included the neighborhood deprivation index (NDI) and prior receipt of medical financial assistance (MFA) from the health system. Patients were invited to complete an email or phone survey about their satisfaction with the meals and food insecurity. Multivariable log‐binomial regression models were used to examine the association between socioeconomic disadvantage and food insecurity with meals uptake and satisfaction. Results Sixty‐two percent of patients referred for the benefit accepted the meals (mean age: 79 ± 9, 59% people of color). While there was no significant relationship between NDI and meals uptake (RR: 0.99, 95% CI: 0.92–1.07, p = 0.77), patients who received prior MFA were more likely to accept the meals (RR: 1.09, 95% CI: 1.02–1.16, p < 0.01). Sixty‐nine percent of patients who completed the survey (23% response rate) reported that meals were very or extremely helpful. Patients with food insecurity (29% of survey respondents) were more likely to report that the meals were helpful for their recovery compared to food secure patients (RR: 1.21, 95% CI: 1.09–1.35, p < 0.01). Conclusions The home‐delivered meals appeared to be particularly utilized by and helpful to patients with greater financial strain and/or food insecurity, suggesting that supplemental benefits ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1111/jgs.18907 |
| الإتاحة: |
https://doi.org/10.1111/jgs.18907Test |
| حقوق: |
http://onlinelibrary.wiley.com/termsAndConditions#vorTest |
| رقم الانضمام: |
edsbas.AA4C5E9D |
| قاعدة البيانات: |
BASE |
