养老院的机构特殊需求计划:招生人数大幅增长但可用性较低,2006-21
Amanda C Chen1, Joseph G P Hnath2, David C Grabowski3
1Amanda C. Chen (amandachen@g.harvard.edu), Harvard University, Cambridge, Massachusetts.
Health affairs (Project Hope)
|October 7, 2024
概括
从2006年到2021年,长期养老院居民的机构特殊需要计划 (I-SNP) 招生从2006年到2021年增加了四倍. 然而,大多数养老院和县仍然缺乏I-SNP可用性,这表明市场存在重大差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是指老年学的学科.
- 卫生政策 卫生政策
背景情况:
- 机构特殊需要计划 (I-SNP) 是医疗保险优势计划,用于养老院居民.
- I-SNP旨在通过现场执业护士改善初级保健,护理规划和协调.
- 了解I-SNP市场对于提高长期护理质量至关重要.
研究的目的:
- 进行第一个全国性的机构特殊需求计划市场描述性分析.
- 检查长期住护院居民中I-SNP的入学趋势和市场透率.
- 确定美国各地的地理差异和I-SNP的可访问性.
主要方法:
- 在全国范围内对Medicare Advantage I-SNP招生数据进行描述性分析.
- 检查2006年至2021年的入学数据.
- 在养老院和县级分析I-SNP的可用性.
主要成果:
- 在I-SNP中,长期住院居民的比例从2006年的2.2%增加到2021年的8.8%.
- 尽管有增长,2021年70%的养老院没有I-SNP居民.
- 超过60%的美国县没有I-SNP;94%的注册居民有双重资格 (医疗保险/医疗补助).
结论:
- 在I-SNP招生中出现了显著的增长,但市场透仍然有限.
- 对I-SNP的地理位置和设施层面的访问是高度可变的.
- 需要进一步的研究,以了解招生驱动因素,障碍和对护理质量的影响.
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