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The impact of TennCare on patient satisfaction with care.
Am J Manag Care. 1999 Jun; 5(6):765-75.AJ

Abstract

OBJECTIVE

To measure the level of satisfaction with care by Medicaid-eligible patients before and after implementation of a mandatory managed care plan known as TennCare.

STUDY DESIGN

We used multivariate logit analysis of survey data to calculate the effects of TennCare on patient satisfaction for TennCare patients compared to those on traditional Medicaid, using North Carolina as a control state.

PATIENTS AND METHODS

Patients were respondents to a survey conducted in late 1996 and early 1997 who had been admitted to hospitals in 1993 and 1995 for labor/delivery (n = 986), acute myocardial infarction (n = 457), and head trauma (n = 248). Dependent variables were yes/no responses to satisfaction questions for labor/delivery and 5-category ordered responses for adults.

RESULTS

We found no statistically significant differences in satisfaction between TennCare and traditional Medicaid for either pediatric or adult hospital patients. Generally, TennCare recipients had satisfaction levels as good or better than traditional Medicaid recipients. For pediatric care, TennCare odds ratios ranged from 1.00 to 2.17, the latter for satisfaction with care received (P = 0.107). For adult care, odds ratios ranged from 0.77 to 1.23, the latter for satisfaction with cost of care (P = 0.547). For many dimensions of care, lower rates of satisfaction were reported for respondents who were uninsured, less educated, and in poor health. For adult care, blacks or Hispanics tended to be less satisfied with some aspects of care.

CONCLUSION

TennCare did not reduce patient satisfaction with care among those who were hospitalized.

Authors+Show Affiliations

Center for Health Policy, Law and Management, Duke University, Durham, NC, USA. conoverc@hpolicy.duke.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

10538455

Citation

Conover, C J., et al. "The Impact of TennCare On Patient Satisfaction With Care." The American Journal of Managed Care, vol. 5, no. 6, 1999, pp. 765-75.
Conover CJ, Mah ML, Rankin PJ, et al. The impact of TennCare on patient satisfaction with care. Am J Manag Care. 1999;5(6):765-75.
Conover, C. J., Mah, M. L., Rankin, P. J., & Sloan, F. A. (1999). The impact of TennCare on patient satisfaction with care. The American Journal of Managed Care, 5(6), 765-75.
Conover CJ, et al. The Impact of TennCare On Patient Satisfaction With Care. Am J Manag Care. 1999;5(6):765-75. PubMed PMID: 10538455.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of TennCare on patient satisfaction with care. AU - Conover,C J, AU - Mah,M L, AU - Rankin,P J, AU - Sloan,F A, PY - 1999/10/28/pubmed PY - 1999/10/28/medline PY - 1999/10/28/entrez SP - 765 EP - 75 JF - The American journal of managed care JO - Am J Manag Care VL - 5 IS - 6 N2 - OBJECTIVE: To measure the level of satisfaction with care by Medicaid-eligible patients before and after implementation of a mandatory managed care plan known as TennCare. STUDY DESIGN: We used multivariate logit analysis of survey data to calculate the effects of TennCare on patient satisfaction for TennCare patients compared to those on traditional Medicaid, using North Carolina as a control state. PATIENTS AND METHODS: Patients were respondents to a survey conducted in late 1996 and early 1997 who had been admitted to hospitals in 1993 and 1995 for labor/delivery (n = 986), acute myocardial infarction (n = 457), and head trauma (n = 248). Dependent variables were yes/no responses to satisfaction questions for labor/delivery and 5-category ordered responses for adults. RESULTS: We found no statistically significant differences in satisfaction between TennCare and traditional Medicaid for either pediatric or adult hospital patients. Generally, TennCare recipients had satisfaction levels as good or better than traditional Medicaid recipients. For pediatric care, TennCare odds ratios ranged from 1.00 to 2.17, the latter for satisfaction with care received (P = 0.107). For adult care, odds ratios ranged from 0.77 to 1.23, the latter for satisfaction with cost of care (P = 0.547). For many dimensions of care, lower rates of satisfaction were reported for respondents who were uninsured, less educated, and in poor health. For adult care, blacks or Hispanics tended to be less satisfied with some aspects of care. CONCLUSION: TennCare did not reduce patient satisfaction with care among those who were hospitalized. SN - 1088-0224 UR - https://www.unboundmedicine.com/medline/citation/10538455/The_impact_of_TennCare_on_patient_satisfaction_with_care_ L2 - https://www.ajmc.com/pubMed.php?pii=1296 DB - PRIME DP - Unbound Medicine ER -