Changes in health care use and costs after a break in medicaid coverage among persons with depression
Changes in health care use and costs after a break in medicaid coverage among persons with depression
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DOI：
10.1176/appi.ps.58.1.49
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发表时间：
2007-01-01
影响因子：
3.8
通讯作者：
Zhang, Jianyi
中科院分区：
文献类型：
--
作者：
Harman, Jeffrey S.;Hall, Allyson G.;Zhang, Jianyi
目的：本研究的目的是评估经常需要维持治疗的抑郁症患者在医疗补助计划中断一段时间后返回医疗补助计划时，个人受益人的利用率和支出发生的变化。方法：使用 1999 年至 2002 年佛罗里达州医疗补助索赔和承保中断的抑郁症受益人 (N = 1,946) 的资格档案数据来评估承保中断之前三个月期间和承保中断之后三个月期间住院患者发作次数、住院时间、急诊科就诊和医疗补助总支出的个体变化。使用多变量分析来评估受益人特征与利用和支出变化的关系。结果：住院患者发作次数增加了.054 次 (p
Objective: The objective of this study was to assess changes in individual beneficiaries' utilization and expenditures that occur when individuals with depression, who often require maintenance treatment, return to Medicaid after a period of interrupted Medicaid coverage. Methods: Data from 1999 to 2002 Florida Medicaid claims from and eligibility files for beneficiaries with depression whose coverage was interrupted (N = 1,946) were used to assess individual changes in the number of inpatient episodes, length of inpatient stay, emergency department visits, and total Medicaid expenditures between the three-month period immediately before and the three-month period immediately after an interruption in coverage. Multivariate analyses were used to assess how beneficiary characteristics are associated with changes in utilization and expenditures. Results: The number of inpatient episodes increased by.054 episode (p