Factors Associated with Dissatisfaction in Medical Care Quality among Older Medicare Beneficiaries Suffering from Mental Illness

J Aging Soc Policy. 2021 Jan-Feb;33(1):51-66. doi: 10.1080/08959420.2019.1628624. Epub 2019 Jul 2.

Abstract

Approximately 25% of US older adults live with a mental health disorder. The mental health needs of this population are chiefly met by primary care providers. Primary care practices may have inadequate strategies to provide satisfactory care to mentally ill older adults. This study used Centers for Medicare and Medicaid Services data to identify factors, including racial/ethnic differences, associated with dissatisfaction with medical care quality among older adults diagnosed with a mental health disorder. Our findings suggest factors that can be addressed to improve satisfaction with medical care quality and potentially promote adherence and follow-up for mentally ill older adults.

Keywords: Vulnerable populations; mental health; older adults; policy.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Male
  • Medicare
  • Mental Disorders* / psychology
  • Mental Disorders* / therapy
  • Patient Satisfaction / statistics & numerical data*
  • Primary Health Care*
  • Quality of Health Care*
  • Surveys and Questionnaires
  • United States