哪些医疗保险优势登记者在一年内死亡风险最高?
Natalie C Ernecoff1, Rebecca Anhang Price2, David J Klein3
1RAND Corporation, 4570 Fifth Avenue Suite 600, Pittsburgh, PA 15213, United States.
Archives of gerontology and geriatrics
|May 4, 2024
概括
85岁以上的医疗保险优势入学者,健康状况良好或不佳,或最近需要紧急护理的人面临更高的一年死亡风险. 本研究确定了在MA计划中识别高风险老年人的关键特征.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 生物统计学 生物统计学
背景情况:
- 现有的老年人死亡率预测工具众多,但高风险的医疗保险优势 (MA) 登记者的特征仍然未得到充分研究.
- 了解这些特征对于在MA计划中的有针对性的干预和资源分配至关重要.
研究的目的:
- 为了描述医疗保险优势注册者在1年死亡率的风险较高.
- 利用患者调查数据来识别与死亡风险增加相关的人口和健康因素.
主要方法:
- 使用了回顾性队列研究设计.
- 分析了完成2019年医疗保健提供者和系统 (CAHPS) 消费者评估调查的医疗保险优势登记者的数据.
- 人口,健康和死亡率数据被链接在一起,以预测1年死亡风险,并描述入学者的特征.
主要成果:
- 死亡率预测模型实现了0.80.0的c统计值.
- 一小部分 (6%) 的受试者表现出10%或更高的一年死亡风险.
- 与较低风险组相比,高风险 (≥10%的死亡风险) 的入学者年龄大得多 (47%的85岁以上与12%相比),报告健康状况较差 (79%的公平/不良自我健康评价与29%相比),并且有更高的紧急护理需求 (71%与40%相比).
结论:
- 虽然少数医疗保险优惠计划的入学者面临高的一年死亡风险,但特定的子组受到了不成比例的影响.
- 高龄 (85岁以上),健康状况不错或不好,以及最近的紧急护理使用率是该人口中死亡风险升高的关键指标.
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