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Salud Pública

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Este resumen es generado por máquina.

Los costos de atención médica para las personas que viven con demencia (PLWD) son más altos que para aquellas que no la padecen. Este estudio cuantifica los costos médicos relacionados con la demencia, revelando diferencias significativas entre los datos demográficos y las comorbilidades como la diabetes.

Palabras clave:
Salud PúblicaEconomía de la SaludGerontologíaDemenciaCostos de Atención MédicaComorbilidadDiabetesMedicare

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Área de la Ciencia:

  • Economía de la Salud; Gerontología; Salud Pública

Sus antecedentes:

  • Los costos médicos para las personas que viven con demencia (PLWD) son sustancialmente más altos, especialmente en el año del diagnóstico.; La comprensión de la heterogeneidad en los costos médicos relacionados con la demencia y el impacto de las comorbilidades es limitada.

Objetivo del estudio:

  • Estimar y analizar los costos médicos asociados con la demencia en diversas poblaciones.; Identificar los factores que contribuyen a las variaciones de costos, incluido el origen sociodemográfico, la región, el sexo, la raza/etnia y las condiciones comórbidas como la diabetes.

Principales métodos:

  • Se utilizaron reclamaciones de Medicare Partes A, B y D (2006-2020) para el 100% de los beneficiarios tradicionales de Medicare.; Se empleó la correspondencia óptima de puntaje de propensión para comparar PLWD con individuos similares sin demencia.; Se cuantificaron los costos médicos atribuibles a la demencia por tipo de atención, región, sexo, raza/etnia y en PLWD con diabetes.

Principales resultados:

  • En 2020, los costos médicos promedio fueron de $35,828 para PLWD frente a $29,752 para los controles, y los costos de hospitalización impulsaron casi la mitad de la diferencia.; Las disparidades de costos fueron mayores entre los asiáticos ($8,931) y alcanzaron su punto máximo en el grupo de edad de 65 a 70 años ($7,992).; Los PLWD con diabetes incurrieron en más del doble de los costos médicos ($46,772) en comparación con aquellos sin demencia ($21,140).

Conclusiones:

  • Presenta las primeras estimaciones a nivel nacional de los costos médicos relacionados con la demencia por región, sexo, raza y estado de comorbilidad.; Análisis adicionales identificarán cuándo, dónde y para quiénes son más altos los costos de la demencia.; Los hallazgos pueden informar estimaciones de costos integrales y el manejo clínico de las comorbilidades en PLWD.