Satisfaction With Quality of Health Care Among Medicare Beneficiaries With Functional Hearing Loss

Nicholas S Reed, Emily F Boss, Frank R Lin, Esther S Oh, Amber Willink, Nicholas S Reed, Emily F Boss, Frank R Lin, Esther S Oh, Amber Willink

Abstract

Background/objectives: Nearly 38 million Americans have hearing loss. Understanding how sensory deficits such as hearing loss, which limit communication, impact satisfaction has implications for Medicare value-based reimbursement mechanisms. The aim of this study was to characterize the association of functional hearing loss and dissatisfaction with quality of health care over the past year among Medicare beneficiaries.

Methods: Cross-sectional study of satisfaction with quality of health care among Medicare beneficiaries with self-reported trouble hearing from the 2015 Medicare Current Beneficiaries Survey. There were 11,441 Medicare beneficiaries representing a 48.6 million total weighted nationally representative sample.

Results: Forty-eight percent of Medicare beneficiaries reported a little or a lot of trouble hearing. Medicare beneficiaries with a little trouble hearing (odds ratio=1.496; 95% confidence interval, 1.079-2.073; P=0.016) and a lot of trouble hearing (odds ratio=1.769; 95% confidence interval, 1.175-2.664; P=0.007) had 49.6% and 76.9% higher odds of being dissatisfied with the quality of their health care over the previous year, respectively.

Conclusions: Medicare beneficiaries with functional hearing loss had higher odds of dissatisfaction with health care over the past year compared to those without functional hearing loss. Given Medicare's reliance on patient satisfaction as a value-based measure for hospital reimbursement, interventions to address hearing loss in the health care system are needed.

Conflict of interest statement

Conflicts of Interest: NR reports being a consultant to Helen of Troy and scientific advisory board member (non-financial) to Shoebox Audiometry. FR reports being consultant to Cochlear and receiving speaker honoraria from Amplifon. No other authors report conflicts of interest.

References

    1. Beck RS, Daughtridge R, Sloane PD. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract. 2002;15(1):25–38.
    1. Clever SL, Jin L, Levinson W, Meltzer DO. Does doctor–patient communication affect patient satisfaction with hospital care? Results of an analysis with a novel instrumental variable. Health Serv Res. 2008;43(5p1):1505–1519.
    1. Committee on Quality of Health Care in America, and Institute of Medicine Staff. Crossing the quality chasm: A new health system for the 21st century. National Academies Press, 2001.
    1. Boulding W, Glickman SW, Manary MP, Schulman KA, Staelin R. Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days. Am J Manag Care. 2011;17(1):41–48.
    1. Crow H, Gage H, Hampson S, Hart J, Kimber A, Storey L, Thomas H. Measurement of satisfaction with health care: Implications for practice from a systematic review of the literature. Health Technol Assess 2002;6(32)
    1. Zolnierek KBH, DiMatteo MR. Physician communication and patient adherence to treatment: a meta-analysis. Med Care. 2009;47(8):826.
    1. Stein SM, Day M, Karia R, Hutzler L, Bosco JA III. Patients’ perceptions of care are associated with quality of hospital care: a survey of 4605 hospitals. Am J Med Qual. 2015;30(4):382–388.
    1. Mira JJ, Orozco-Beltrán D, Pérez-Jover V, Martínez-Jimeno L, Gil-Guillén VF, Carratala-Munuera C, Sánchez-Molla M, Pertusa-Martínez S, Asencio-Aznar A. Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. Fam Pract. 2012;30(1):56–63.
    1. Centers for Medicare and Medicaid Services, Services M. Open door forum: Hospital value-based purchasing. Baltimore, MD: Centers for Medicare & Medicaid Services; 2011.
    1. Centers for Medicare and Medicaid Services. HCAHPS: Patients’ Perspectives of Care Survey. . Accessed December 14, 2018
    1. Cudmore V, Henn P, O’tuathaigh CM, Smith S. Age-related hearing loss and communication breakdown in the clinical setting. JAMA Otolaryngol Head Neck Surg. 2017;143(10):1054–1055.
    1. Busch-Vishniac IJ, West JE, Barnhill C, Hunter T, Orellana D, Chivukula R. Noise levels in Johns Hopkins hospital. J Acoust Soc Am. 2005;118(6):3629–3645.
    1. Cohen JM, Blustein J, Weinstein BE, Dischnger H, Sherman S, Grudzen C, Chodosh J. Studies of Physician‐Patient Communication with Older Patients: How Often is Hearing Loss Considered? A Systematic Literature Review. J Am Geriatr Soc. 2017; 65(8):1642–1649.
    1. Shukla A, Nieman CL, Price C, Harper M, Lin FR, Reed NS. Impact of Hearing Loss on Patient–Provider Communication Among Hospitalized Patients: A Systematic Review. Am J Med Qual. 2018. [Epub ahead of print]
    1. Goman AM, Lin FR. Prevalence of hearing loss by severity in the United States. Am J Public Health. 2016;106(10):1820–1822.
    1. Lin FR, Niparko JK, Ferrucci L. Hearing loss prevalence in the United States. Arch Intern Med. 2011;171(20):1851–1853.
    1. Goman AM, Reed NS, Lin FR. Addressing Estimated Hearing Loss in Adults in 2060. JAMA Otolaryngol Head Neck Surg. 2017;143(7):733–734
    1. Lin FR, Yaffe K, Xia J, Xue QL, Harris TB, Purchase-Helzner E, Satterfield S, Ayonayon HN, Ferrucci L, Simonsick EM Health ABC Study Group. Hearing loss and cognitive decline in older adults. JAMA Intern Med. 2013;173(4):293–299.
    1. Lin FR, Metter EJ, O’Brien RJ, Resnick SM, Zonderman AB, Ferrucci L. Hearing loss and incident dementia. Arch Neurol. 2011;68(2):214–220.
    1. Lin FR, Ferrucci L. Hearing loss and falls among older adults in the United States. Arch Intern Med. 2012;172(4):369–371.
    1. Reed NS, Altan A, Deal JA, Yeh C, Kravetz AD, Wallhagen M, Lin FR. Trends in health care costs and utilization associated with untreated hearing loss over 10 years. JAMA Otolaryngol Head Neck Surg. 2019;145(1):27–34.
    1. Barnett DD, Koul R, Coppola NM. Satisfaction with health care among people with hearing impairment: a survey of Medicare beneficiaries. Disabil Rehabil. 2014;36(1):39–48.
    1. Centers for Medicare and Medicaid Services. 2015 Medicare Enrollment Section. . Accessed December 1, 2018
    1. Reed NS, Betz JF, Kucharska‐Newton AM, Lin FR, Deal JA. Hearing loss and satisfaction with healthcare: An unexplored relationship. J Am Geriatr Soc. 2019; 67(3): 624–626.
    1. Adler GS. A profile of the Medicare current beneficiary survey. Health Care Financ Rev. 1994;15(4):153.
    1. Sitzia J, Wood N. Patient satisfaction: a review of issues and concepts. Soc Sci Med. 1997;45(12):1829–1843.
    1. Iezzoni LI, Davis RB, Soukup J, O’DAY B. Satisfaction with quality and access to health care among people with disabling conditions. Int J Qual Health Care. 2002;14(5):369–381.
    1. Adler GS. Medicare beneficiaries rate their medical care: New data from the MCBS. Health Care Financ Rev. 1995;16(4):175.
    1. Thi PLN, Briancon S, Empereur F, Guillemin F. Factors determining inpatient satisfaction with care. Soc Sci Med. 2002; 54(4): 493–504.
    1. Hall JA, Milburn MA, Epstein AM. A causal model of health status and satisfaction with medical care. Med Care. 1993; 31(1):84–94.
    1. Deal JA, Sharrett AR, Albert MS, Coresh J, Mosley TH, Knopman D, Wruck LM, Lin FR. Hearing impairment and cognitive decline: a pilot study conducted within the atherosclerosis risk in communities neurocognitive study. Am J Epidemiol. 2015. May 1;181(9):680–90.
    1. Wallhagen MI, Reed NS. Implications of Hearing Care Policy for Nurses. J Gerontol Nurs. 2018. August 27;44(9):9–14.
    1. Centers for Medicare and Medicaid Services. CAHPS for MIPS Survey. Accessed December 14, 2018

Source: PubMed

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