在大型国家医疗保险优势计划的受益者中,家庭人口的流行病学
Bruce Leff1, Christine Ritchie2, Sarah Szanton3
1Division of Geriatric Medicine and Gerontology, Department of Medicine, Center for Transformative Geriatric Research, Johns Hopkins University School of Medicine; Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health; and Department of Community and Public Health, Johns Hopkins School of Nursing, Baltimore, Maryland (B.L.).
家庭医疗保险优势受益人占人口的22.0%,面临增加医疗保健使用率和死亡率的更高风险. 识别和管理这些人对于护理规划至关重要.
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
- 流行病学 流行病学
背景情况:
- 在医疗保险优势 (MA) 计划中,家庭医疗正在获得吸引力.
- 国内MA受益者的流行率和特征在很大程度上是未知的.
- 了解这群人群对于有效的护理管理至关重要.
研究的目的:
- 为了确定一个大型国家MA计划中的回国受益者的流行率,特征和预测因素.
- 分析与家庭状态相关的卫生服务利用率和死亡率结果.
- 为针对回国MA会员的战略举措提供数据.
主要方法:
- 一项横截面研究分析了2022年2,435,519名Humana MA受益人的数据.
- 家庭状态被分类使用家庭评估 (家庭,半家庭,非家庭).
- 人口统计,临床,医疗服务使用和死亡率数据在家庭状态组之间进行了比较.
主要成果:
- 在2022年,22.0%的受益人被归类为"回家"或"半回家".
- 家庭状态的预测因素包括女性性别,低收入/双重资格,痴呆症和脆弱性.
- 家庭状态与急诊室访问,住院,熟练护理机构入院和死亡率的几率显著增加.
结论:
- 很大一部分 (22.0%) 的医疗保险优势受益人是家庭或半家庭.
- 家庭状态是增加医疗保健利用率和死亡率的独立预测指标.
- 研究结果支持需要有针对性的策略来识别和管理关怀回家的MA受益者.
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