在传统医疗保险和医疗保险优势中,骨质疏松症的测试和治疗仍然很低
Tej D Azad1,2, Rachel J Wu3,4, Kelly E Anderson3,5
1Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA. tazad1@jhmi.edu.
概括
与传统医疗保险 (TM) 相比,Medicare Advantage (MA) 计划的骨质疏松症测试和治疗率更高. 这包括骨密度测试和开始治疗骨质疏松症的药物,特别是在骨折后.
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
- 药物经济学 药物经济学
背景情况:
- 骨质疏松症对健康构成重大挑战,特别是在美国的老年女性身上.
- 有效的护理协调对于治疗骨质疏松症至关重要.
- 医疗保险优势计划有财政激励,以提高骨质疏松症的护理.
研究的目的:
- 为了比较传统医疗保险 (TM) 和医疗保险优势 (MA) 女性登记者之间的骨质疏松症管理.
- 为了评估骨矿物质密度 (BMD) 测试和骨质疏松症药物启动的差异.
- 评估骨质疏松症脆弱性骨折后的骨质疏松症护理.
主要方法:
- 使用2017-2019年国家医疗保险索赔和遭遇数据进行横截面研究.
- 包括2,994,203名女性TM受益者和1,924,132名MA入学者.
- 在诊断后和骨折后的骨质疏松症测试和骨质疏松症药物启动率的比较.
主要成果:
- 与TM相比,MA受益者有更高的BMD测试率 (22.0%与19.8%) 和骨质疏松症药物启动率 (24.9%与20.3%) 与TM相比.
- 在骨折后,MA注册者更有可能接受药物治疗 (28.7%vs21.1%).
- 经过调整的分析证实,在MA中,测试和治疗率显著更高.
结论:
- 在TM和MA中,骨质疏松症检测和治疗率仍然很低.
- 与传统医疗保险受益者相比,医疗保险优惠计划的受益者表现出优异的骨质疏松症管理.
- 在所有医疗保险人群中,需要进一步改善骨质疏松症护理.
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