Medicare Expenditures and Health Care Utilization in a Multiethnic Community-based Population With Dementia From Incidence to Death.
Medicare Expenditures and Health Care Utilization in a Multiethnic Community-based Population With Dementia From Incidence to Death.
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DOI：
10.1097/wad.0000000000000259
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发表时间：
2018-10
影响因子：
2.1
通讯作者：
Stern Y
中科院分区：
文献类型：
--
作者：
Ornstein KA;Zhu CW;Bollens-Lund E;Aldridge MD;Andrews H;Schupf N;Stern Y
While individuals live with dementia for many years, utilization and expenditures from disease onset through the end-of-life period have not been examined in ethnically diverse samples. We used a multiethnic, population-based, prospective study of cognitive aging (Washington Heights-Inwood Columbia Aging Project) linked to Medicare claims to examine total Medicare expenditures and healthcare utilization among individuals with clinically-diagnosed incident dementia from disease onset to death. High intensity treatment (hospitalizations, life-sustaining procedures) was common and mean Medicare expenditures per year after diagnosis was $69,000. Non-Hispanic Blacks exhibited higher spending relative to Hispanics and non-Hispanic Whites one year after diagnosis. Non-Hispanic Blacks had higher total (mean=$205,000) Medicare expenditures from diagnosis to death compared with non-Hispanic Whites (mean=$118,000). Hispanics’ total expenditures and utilization after diagnosis was similar to Non-Hispanic Whites despite living longer with dementia. Healthcare spending for patients with dementia after diagnosis through the end-of-life is high and varies by ethnicity.
