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Elderly Medicare, Medicaid patients not receiving quality care
Date:10/17/2007

ration a collaborative effort between the UCLA Division of Geriatrics and the University of Southern California School of Gerontology researchers examined quality for 43 specific types of care (for example, receiving a new medication or having a diagnostic test) for common conditions such as depression, diabetes, hypertension and heart failure.

They found that in too many instances, elderly patients were not given the full range of treatments and services for their conditions. For example, only 42 percent of patients with diabetes were tested to gauge their blood sugar control or received an eye examination during the one-year study period. Likewise, many patients who were newly diagnosed with heart failure did not receive recommended diagnostic evaluations or medications known to be effective.

In the absence of electronic medical records, the use of administrative data such as those on which the researchers based their work can be a gauge of the quality of some important aspects of care for elderly patients, Zingmond said.

"The Medicare and Medicaid administrative data contain information on many aspects of the care that these patients receive," he said. "This type of monitoring is both feasible and necessary."


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Contact: Enrique Rivero
erivero@mednet.ucla.edu
310-794-2273
University of California - Los Angeles
Source:Eurekalert

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