米国における医療費の予測モデル化
Liran Einav1,2, Amy Finkelstein3,4, Sendhil Mullainathan1,5
1National Bureau of Economic Research, Cambridge, MA 02138, USA.
Science (New York, N.Y.)
|June 30, 2018
まとめ
人生の終わりに近づいているときの メディケアの支出は 必ずしも無駄ではありません 病気 から 回復 する か 死ん で いる か に かかわら ず,高額 の 支出 が 行なわ れる こと は 常々 あり ます.そう し た こと に よっ て",絶望 的"な 症例 に 関する 仮定 に 異議 を 唱え られ ます.
科学分野:
- 健康 経済
- バイオ統計学
- ゲロントロジー
背景:
- メディケアの支出の大部分は 人生の最後の年に発生します
- この支出パターンは 死亡率の予知を前提に 浪費として誤解されることが多いのです
研究 の 目的:
- 予測される死亡リスクに基づいて 医療費の分配を分析する.
- 生命の終わりの支出は本質的に浪費的であるという解釈に異議を唱えます
主な方法:
- 年間死亡リスクを予測する メディケアのクレームを利用した 機械学習モデルを開発しました
- 予測される死亡率に対する 医療費の分布を分析しました
主要な成果:
- 死亡は予測不可能で,死亡リスクが50%以上ある個人に支出は5%未満です.
- 生存率に関係なく 病気に対する支出の増加は 死の近くでの支出集中の30~50%を説明します
- 死者 (ex post) のための支出は"絶望的" (ex ante) のための支出とは違う.
結論:
- 慢性疾患の治療に 集中した医療費は 慢性疾患の治療に 集中した医療費は 慢性疾患の治療に 集中した医療費に 集中した医療費は 慢性疾患の治療に 慢性疾患の治療に 集中した医療費に 慢性疾患の治療に 慢性疾患の治療に
- 病気の重症度や 予測不能な死亡率を 考慮する必要があります
- 現在のメディケア支出の解釈は 患者の健康経路の複雑さを無視しているかもしれません
関連する概念動画
01:21Interdisciplinary Care: The Health Care Team-I
2.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.7K
01:18Interdisciplinary Care: The Health Care Team-II
2.3K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.3K
01:18Introduction To Health Care Delivery System
4.2K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.2K
01:26Traditional Level Of Health Care System
3.4K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.4K
02:42Half-life of a Reaction
39.2K
The half-life of a reaction (t1/2) is the time required for one-half of a given amount of reactant to be consumed. In each succeeding half-life, half of the remaining concentration of the reactant is consumed. For example, during the decomposition of hydrogen peroxide, during the first half-life (from 0.00 hours to 6.00 hours), the concentration of H2O2 decreases from 1.000 M to 0.500 M. During the second half-life (from 6.00 hours to 12.00 hours), the concentration decreases from 0.500 M to...
39.2K
01:23Characteristics of Life
262.3K
Biology is a natural science that studies life and living organisms, including their structure, function, development, interactions, evolution, distribution, and taxonomy. The field's scope is extensive and divided into several specialized disciplines, such as anatomy, physiology, ethology, genetics, and many more. All living things share a few key traits, including cellular organization, heritable genetic material and the ability to adapt/evolve, metabolism to regulate energy needs, the...
262.3K