235203 Quantitative Survey of Perceived Barriers to Physician Care for Women with Coronary Artery Disease

Tuesday, November 1, 2011: 3:00 PM

Kevin Hawkins, PhD , Advanced Analytics, OptumInsight, Ann Arbor, MI
Frank G. Bottone Jr, PhD , Health Care Innovation and Information, Ingenix, Ann Arbor, MI
Cynthia E. Hommer, MSW, LICSW , UnitedHealth Group Alliances, Minneapolis, MN
Ronald J. Ozminkowski, PhD , Advanced Analytics, OptumInsight, Ann Arbor, MI
Janelle G. Ekness, MS , Health Care Innovation and Information, Ingenix, Eden Praire, MN
Richard J. Migliori, MD , Health Services, UnitedHealth Group Alliances, Minnetonka, MN
Charlotte S. Yeh, MD , AARP Services Inc., Washington, DC
To better understand the perceived barriers to physician office-based care for women with coronary artery disease (CAD), we surveyed 7,191 women from nine states and the District of Columbia who had an AARP® Medicare Supplement Insurance plan provided by UnitedHealthcare, and who were previously diagnosed with CAD. 1,273 eligible women (18.5%) responded to the survey. Most (78%) said their doctor told them they have CAD, while 87% said they saw a doctor about their CAD in the past year. 76% indicated their doctors would talk to them about CAD if it were a concern. Although most respondents (94%) said it was important to take care of their heart, 21% responded that “fear of bad news” kept them from seeking care while another 11.2% cited financial reasons. About 63% responded they would visit their doctor if family members thought they should and 96% responded they would go to their doctor if the doctor's office called to schedule an appointment. In conclusion, there is a disconnect between women's perceptions and actual care seeking behavior. While all of the respondents had a claims history of CAD, only 78% of respondents said their doctor told them they had heart problems. Further, 87% of the respondents stated they saw a doctor for CAD care last year but only 66% had claim to support this. Most women said they want to take care of their heart and said that if their family members or physician said they should go in for a visit they would.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention

Learning Objectives:
Describe several perceived barriers to follow-up care for older women with coronary artery disease (CAD) based on a survey of women with a Medigap plan.

Keywords: Women, Access to Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Kevin R. Hawkins, Ph.D., Senior Director at Ingenix has over 20 years experience designing, conducting, and managing health services research. Dr. Hawkins has conducted a variety of research and evaluation projects, specifically health-economic, quality-of-life, disease burden, pharmacoeconomics and retrospective database analyses. Dr. Hawkins has authored over 40 peer-reviewed articles and presentations, and is a reviewer for several medical-scientific journals. Before joining Ingenix, Dr. Hawkins worked for IMS Health, Medstat, and Blue Cross Blue Shield of Michigan. Dr. Hawkins received his Ph.D. in Health Economics from Wayne State University. I contributed substantially to the planning and evaluation of the submitted work.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.