Multiple risk factors and the likelihood of patient-physician communication and health maintenance services in medicare health plans

J Ambul Care Manage. Jan-Mar 2013;36(1):50-60. doi: 10.1097/JAC.0b013e318267473b.


This study examined both individual and combined effects of race, education, and health-based risk factors on health maintenance services among Medicare plan members. Data were from 110 238 elderly completing the 2006 Medicare Health Outcomes Survey. Receipt of recommended patient-physician communication and interventions for urinary incontinence, physical activity, falls, and osteoporosis was modeled as a function of risk factors. Low education decreased the odds of receiving services; poor health increased odds. Race had little effect. Evidence suggested moderation among competing effects. While clinicians target services to most at-risk elderly individuals, patients with low education experience gaps. Synergies among co-occurring risks warrant further research.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Communication*
  • Female
  • Health Care Surveys
  • Humans
  • Male
  • Medicare*
  • Physician-Patient Relations*
  • Primary Prevention
  • Risk Factors
  • Social Class
  • United States
  • Vulnerable Populations