最近急性心肌梗塞住院人数的下降对Medicare收费服务受益者来说:进展和持续的挑战
Jersey Chen1, Sharon-Lise T Normand, Yun Wang
1Department of Medicine, Yale University School of Medicine, New Haven, CT 06520, USA. jersey.chen@yale.edu
Circulation
|March 10, 2010
概括
2002-2007年,急性心肌梗塞 (AMI) 住院率在美国医疗保险收费服务患者中显著下降. 然而,与白人相比,黑人男性和女性的下降速度较慢.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 老年医学 老年医学
背景情况:
- 心血管疾病仍然是导致死亡的主要原因.
- 了解急性心肌梗塞 (AMI) 的趋势对于公共卫生倡议至关重要.
- 关于老年人群中AMI住院趋势的数据有限.
研究的目的:
- 调查美国医疗保险服务费患者急性心肌梗塞 (AMI) 住院率的趋势.
- 在2002年至2007年间,根据年龄,性别和种族分析这些趋势.
主要方法:
- 使用了2002-2007年的Medicare服务费住院数据.
- 计算每10万受益年每年的AMI住院率.
- 采用Poisson回归分析,按年龄,性别和种族分层.
主要成果:
- 从2002年到2007年,AMI整体住院率下降了23.4%.
- 调整后的每年AMI住院率下降率为5.8%.
- 白人男性和女性比黑人男性和女性在AMI住院的病例下降幅度更大.
结论:
- 在医疗保险服务费人口中观察到AMI住院病例的显著减少.
- 在种族群体之间发现了下降速度的差异,黑人个体的改善速度较慢.
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