Use of Advance Care Planning Codes Among Transgender Medicare Beneficiaries.
Use of Advance Care Planning Codes Among Transgender Medicare Beneficiaries.
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在跨性别医疗保险受益人中使用预先护理计划代码。
DOI：
10.1089/lgbt.2021.0340
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发表时间：
2022
期刊：
影响因子：
4.8
通讯作者：
Weissman,JoelS
中科院分区：
文献类型：
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作者：
Reich,AmandaJ;Manful,Adoma;Candrian,Carey;Semco,RobertS;Ladin,Keren;Prigerson,HollyG;Weissman,JoelS
目的：我们研究了使用预先护理计划（ACP）在医疗保险受益人谁被确定为transgender.Methods：这项研究是一个横断面分析的医疗保险索赔从2016年至2018年，比较ACP访问之间的跨性别和其他beneficiary.Results：受益人确定为跨性别比那些谁是双重资格的医疗补助和医疗保险，和其余的收费服务医疗保险人口，有可能收到ACP索赔。然而，种族和民族差异的存在和跨性别的受益人更有可能收到一个ACP索赔从临终关怀/姑息治疗的临床医生相比，初级保健临床医生相对于其他benefits.Conclusions：在ACP提供的差异可能会加剧差异，在获得ACP的好处所面临的跨性别患者。
Purpose:We examined the use of advance care planning (ACP) among Medicare beneficiaries who were identified as transgender.Methods:This study is a cross-sectional analysis of Medicare claims from 2016 to 2018, comparing ACP visits between transgender and other beneficiaries.Results:Beneficiaries identified as transgender were slightly more likely than those who were dual eligible for Medicaid and Medicare, and the remaining fee-for-service Medicare population, to have received a claim for ACP. However, racial and ethnic differences exist and transgender beneficiaries were more likely to receive an ACP claim from hospice/palliative care clinicians compared with primary care clinicians relative to other beneficiaries.Conclusions:Differences in ACP provision may exacerbate disparities in access to ACP benefits faced by transgender patients.