dc.contributor.author |
Striegel, Mary. |
en_US |
dc.contributor.author |
Youngstown State University. Criminal Justice Dept. |
en_US |
dc.date.accessioned |
2011-01-31T14:20:42Z |
|
dc.date.accessioned |
2019-09-08T02:29:56Z |
|
dc.date.available |
2011-01-31T14:20:42Z |
|
dc.date.available |
2019-09-08T02:29:56Z |
|
dc.date.created |
1999 |
en_US |
dc.date.issued |
1999 |
en_US |
dc.identifier.other |
b18373409 |
en_US |
dc.identifier.uri |
http://www.ohiolink.edu/etd/view.cgi?ysu998075386 |
en_US |
dc.identifier.uri |
http://jupiter.ysu.edu/record=b1837340 |
en_US |
dc.identifier.uri |
http://hdl.handle.net/1989/6348 |
|
dc.description |
vi,83 leaves : ill. ; 29 cm. |
en_US |
dc.description |
Thesis (M.S.)--Youngstown State University, 1999. |
en_US |
dc.description |
Includes bibliographical references (leaves ). |
en_US |
dc.description.abstract |
Traditional federal Medicare, which provides health insurance coverage for
approximately 13% of the national population, spent $213 billion in 1997. Due to
medical advances, escalating healthcare costs and the rising senior population, the
existing Medicare program is predicted to be bankrupt by the year 200 I. In an attempt to
prevent this, the u.s. Department of Health and Human Services enacted legislation to
allow commercial insurance plans to offer a managed care Medicare option. Because of
low out-of-pocket costs and the extensive use of prevention programs associated with
managed care Medicare, senior citizens are rapidly converting to these plans. It is
important, then, to examine the quality of healthcare offered by both managed care
Medicare and the traditional Medicare plan. This observational study used a descriptive
correlational research design composed of a convenience sampling of Allegheny County,
PA senior citizens attending community based, congregate senior centers. An adaptation
of the Consumer Assessment of Health Plan Survey was used to determine perceptions of
quality of care and sociodemographic variables. Using a proportional odds model, it was
revealed in the data that the overall quality rating for type of insurance plan was predicted
by the rating of physicians' skills, the perception that the plan provided the services
needed, the amount oftime the physician spent with the subject and education level. The
overall plan rating for managed care Medicare was 4.22 (s.d=0.76) whereas federal
Medicare was 2.95 (s.d.=1.39). This data supports the hypothesis that subjects insured by
managed care Medicare believe that they are provided with a quality of medical care
better than that provided by federal Medicare. |
en_US |
dc.description.statementofresponsibility |
by Mary Striegel. |
en_US |
dc.language.iso |
en_US |
en_US |
dc.relation.ispartofseries |
Master's Theses no. 0640 |
en_US |
dc.subject.classification |
Master's Theses no. 0640 |
en_US |
dc.subject.lcsh |
Theses (Master's) |
en_US |
dc.title |
A paradigm shift in the Golden Years . The transition from Federal Medicare to managed care Medicare, / |
en_US |
dc.type |
Thesis |
en_US |