痴呆症患者配偶之间的医疗保险支出
Bailey C Ingraham1, Douglas Barthold2, Norma B Coe3
1Department of Health Systems and Population Health, University of Washington, Seattle, Washington, USA.
照顾痴呆症伴侣的配偶在五年内没有显著增加累计医疗保险费用. 然而,在第五年,支出增加了,特别是住院护理,这表明潜在的后期财务影响.
科学领域:
- 老年学是一门学科.
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 痴呆症患者的配偶经历了严重的压力,影响了他们的福祉和医疗保健需求.
- 这种压力可能会导致医疗保健利用率和护理人员支出增加.
研究的目的:
- 为了比较配偶与痴呆症伴侣 (SPWD) 与配偶与没有痴呆症伴侣 (SPWND) 在痴呆症发病后五年内的医疗保险支出.
- 确定伴侣痴呆症早期阶段对护理人员的财务影响.
主要方法:
- 使用的健康和退休研究数据与医疗保险索赔相关.
- 将配偶及其伴侣患有痴呆症 (SPWD) 的二元组与对照组 (SPWND) 相匹配.
- 采用了两部分回归模型来分析配偶在伴侣痴呆症发病后的五年内对配偶的医疗保险支出.
主要成果:
- 五年来累计的医疗保险支出在SPWD ($60,043) 和SPWND ($56,068) 之间没有显著差异.
- 第五年出现了显著的差异,SPWD的总支出较高 (+2,748美元).
- 住院费用显著推动了SPWD第五年增加的支出 (+1,562美元).
结论:
- 在痴呆症伴侣的配偶 (SPWD) 和没有痴呆症伴侣的配偶 (SPWND) 之间,没有发现累积5年医疗保险支出的显著差异.
- 该研究可能更一致地捕获了早期痴呆阶段,这可能解释了与以前的研究相比,缺乏显著的累积成本差异.
- 需要进一步的研究来检查痴呆症晚期阶段和关键护理过渡期间的支出模式.
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