疾病发生过程中的种族和民族差异 痴呆症受益人的医疗保险支出
Natalia Olchanski1,2, Yingying Zhu1, Lichen Liang1
1Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts, USA.
Journal of the American Geriatrics Society
|March 20, 2024
概括
与白人相比,黑人和西班牙裔人的痴呆症护理医疗保险费用更高,特别是在生命的最后一年. 这些差异与使用高成本医疗保健服务的增加有关.
科学领域:
- 卫生经济学 卫生经济学
- 老年医学 老年医学
- 健康差距 研究 研究 研究 研究
背景情况:
- 关于痴呆症护理费用的种族和民族差异的研究有限.
- 了解痴呆症疾病过程中的成本变化对于医疗保健政策和资源分配至关重要.
研究的目的:
- 分析痴呆症受益人的医疗保险支出.
- 识别成本最高的护理阶段.
- 为了确定痴呆症护理费用是否因种族和种族而异.
主要方法:
- 使用的健康和退休研究 (HRS) 数据 (2000-2016) 与医疗保险索赔相关.
- 估计医疗保险在四个阶段的支出:诊断前,诊断后的第一年,持续护理和生命的最后一年.
- 采用了特定种族的生存模型,并调整了每月的支出,以根据服务类型分析医疗保健利用率.
主要成果:
- 非西班牙裔 (NH) 黑人 (165,730美元) 和西班牙裔 (160,442美元) 的医疗保险总支出高于NH白人 (136,326美元).
- 黑人受益者在每一个护理阶段都承担了更高的费用,特别是在诊断前的一年和生命的最后一年.
- 人们越来越多地使用昂贵的服务,例如紧急诊所和住院护理,导致了这些成本差异,特别是在生命的最后一年.
结论:
- 患有痴呆症的非西班牙裔黑人和西班牙裔受益人经历了比NH白人更高的整体医疗保险支出.
- 痴呆症护理费用在疾病过程的所有阶段存在显著的种族和民族差异.
- 需要进一步研究这些差异背后的机制以及公平获得护理的策略.
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