评估与没有艾滋病毒的老年医疗保险受益人的医疗保健利用率和支出
Gina Turrini1, Stephanie S Chan1, Pamela W Klein2
1U.S. Department of Health and Human Services, Washington, DC, USA.
Medical care research and review : MCRR
|September 28, 2023
概括
艾滋病毒感染的老年人使用更多的医疗保健服务,并且比没有艾滋病毒的人支付更高的医疗保险费用. 尽管支出较高,但艾滋病毒感染者死亡风险增加限制了整体医疗保健利用率.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 艾滋病毒现在是一种可管理的慢性疾病,增加了预期寿命和艾滋病毒感染的老年人比例.
- 艾滋病毒感染的老年人患病率较高,但他们的医疗保健利用率和支出模式仍未得到充分研究.
- 了解医疗保健需求至关重要,因为艾滋病毒感染的老年人人口越来越多.
研究的目的:
- 为了比较Medicare受益者之间的医疗保健利用和支出,包括艾滋病毒感染者和没有艾滋病毒感染者.
- 为了考虑不同死亡率对医疗保健支出的影响.
- 为这个老龄化人口制定医疗保健政策和提供者策略.
主要方法:
- 对Medicare受益人的人口特征和索赔数据的分析.
- 群体之间的累计医疗保健支出 (医疗保险A和B部分) 的比较.
- 针对艾滋病毒感染者和未感染者之间死亡风险差异的统计调整.
主要成果:
- 67-77岁的艾滋病毒感染者与没有艾滋病毒的人相比,医疗保险A部分的支出高出26%,医疗保险B部分的支出高出39%.
- 如果没有艾滋病毒感染者死亡率较高的风险,观察到的支出差异将更大.
- 这表明艾滋病毒感染的老年人更需要医疗保健服务.
结论:
- 艾滋病毒感染的老年人通过医疗保险A和B部分承担的医疗保健费用显著增加.
- 不同的死亡率部分掩盖了这一群体医疗保健需求增加的全部程度.
- 需要进一步的研究来确定医疗保健利用率增加的原因,并制定有针对性的干预措施.
更多相关视频
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
16.6K
23:56Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
16.8K
相关概念视频
01:29Pulmonary Tuberculosis I
257
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
257
01:22Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
01:26Sexually Transmitted Infections
341
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
341
01:29Documentation in Long-Term and Home Healthcare Setting
909
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
909
01:10Retrovirus Life Cycles
46.1K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
46.1K
01:30Health Information Technology and Healthcare Information System
867
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
867