医疗补助家庭和社区服务支出对老年人:有"木工"效应吗?
Brian E McGarry1, David C Grabowski2
1Division of Geriatrics and Aging, Department of Medicine, University of Rochester, Rochester, NY, USA.
Journal of the American Geriatrics Society
|June 16, 2023
概括
扩大医疗补助家庭和社区服务 (HCBS) 并没有增加入学人数,但减少了养老院的使用和成本. 通过HCBS扩张,各州可以为更多的个人提供长期服务和支持 (LTSS).
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 老年学是一门学科.
背景情况:
- 长期服务和支持 (LTSS) 的医疗补助资金历来倾向于机构而不是家庭和社区服务 (HCBS).
- 由于潜在的HCBS扩张,各州面临预算方面的担忧.
研究的目的:
- 分析州医疗补助HCBS扩张对招生,制度化和支出的影响.
- 为了调查存在的存在.
主要方法:
- 采用了1999-2017年间的年度数据.
- 采用差异回归法来比较具有侵略性和不那么侵略性的HCBS扩张的州.
- 检查了包括医疗补助入学,养老院人口和LTSS支出在内的结果.
主要成果:
- 在65岁及以上的个人中,HCBS的扩张与医疗补助计划的增加没有关联.
- 增加的HCBS支出与养老院人口和机构LTSS支出大幅减少有关.
- 在HCBS花费的每一美元导致LTSS总支出的0.74美元,通过减少养老院使用而节省的0.26美元.
结论:
- 没有证据表明一个.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
932
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
932
The Effect of Aging on Tissues
2.2K
Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
2.2K
Specialized Care Centers and Settings-II
757
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
757
Aging
89
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
89
Wood Products
113
Wood products encompass a broad range of materials crafted from wood strands, veneers, lumber, and even waste wood-like shreds, designed for both structural and nonstructural purposes. Various specialized wood products have been developed to enhance strength, durability, and versatility in building applications.
Glue-laminated wood, often referred to as glulam, combines multiple smaller pieces of dimensional lumber using adhesives to form a single, larger piece. Cross-laminated timber consists...
Glue-laminated wood, often referred to as glulam, combines multiple smaller pieces of dimensional lumber using adhesives to form a single, larger piece. Cross-laminated timber consists...
113
Specialized Care Centers and Settings-I
978
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
978


