Health insurance coverage and mortality among the near-elderly
Health insurance coverage and mortality among the near-elderly
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DOI：
10.1377/hlthaff.23.4.223
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发表时间：
2004-07-01
期刊：
影响因子：
9.7
通讯作者：
Ayanian, JZ
中科院分区：
文献类型：
--
作者：
McWilliams, JM;Zaslavsky, AM;Ayanian, JZ
没有保险的近老年人可能特别容易出现不良健康后果。我们比较了一个具有全国代表性的有保险和无保险的近老年人队列的死亡率，这些人群按种族、收入和糖尿病、高血压或心脏病的存在进行分层，使用倾向评分方法来调整许多特征。缺乏健康保险与白色、低收入、糖尿病、高血压或心脏病成年人的调整后死亡率显著升高相关。将保险范围扩大到未投保的近老年人可能会大大改善这些群体的健康状况。
Uninsured near-elderly people may be particularly at risk for adverse health outcomes. We compared mortality of a nationally representative cohort of insured and uninsured near-elderly people with stratification by race; income; and the presence of diabetes, hypertension, or heart disease, using propensity-score methods to adjust for numerous characteristics. Lacking health insurance was associated with substantially higher adjusted mortality among adults who were white; had low incomes; or had diabetes, hypertension, or heart disease. Expanding coverage to the near-elderly uninsured may greatly improve health outcomes for these groups.