title: Identifying areas for improvement: results of a Medicaid managed care diabetes survey.
abstract: This study explores factors that contribute to dissatisfaction for Medicaid managed care enrollees with diabetes. Using results from a mail survey of 2,104 Medicaid managed care enrollees with diabetes, multivariate logistic regression models were fit for 3 outcomes: dissatisfaction with diabetes information from doctor or nurse, dissatisfaction with diabetes care received and dissatisfaction with health plan. Across the 3 models, enrollees who reported they were in poor health, who failed to engage in self-management activities, who reported little or inadequate patient education and/or who had difficulty accessing diabetes care were more likely to report dissatisfaction. The results of this study will be used to propose interventions that Medicaid managed care plans can initiate to improve satisfaction of enrollees with diabetes.
authors.affiliation: New York State Department of Health, Office of Managed Care, Albany 12237, USA.
authors.forename: Beverly
authors.initials: B
authors.lastname: Pasley
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Roohan
authors.forename: Victoria
authors.initials: V
authors.lastname: Wagner
authors.forename: Joyce
authors.initials: J
authors.lastname: Novak
authors.forename: Foster
authors.initials: F
authors.lastname: Gesten
mesh_terms: D000293:Adolescent; D000328:Adult; D014487:Centers for Medicare and Medicaid Services, U.S.; D019992:Databases as Topic; D003920:Diabetes Mellitus; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000592:standards*; D008484:Medicaid / Q000592:standards*; D008875:Middle Aged; D009518:New York; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D014481:United States