A methodology for identifying married couples in Medicare data: Mortality, morbidity, and health care use among the married elderly
A methodology for identifying married couples in Medicare data: Mortality, morbidity, and health care use among the married elderly
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DOI：
10.2307/3004010
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发表时间：
1998-11-01
期刊：
影响因子：
3.5
通讯作者：
Christakis, NA
中科院分区：
文献类型：
--
作者：
Iwashyna, TJ;Zhang, JX;Christakis, NA
我们描述了一种方法，在美国1,400万65岁及以上的已婚夫妇中，最多四分之三的人组成队列。这些确定的夫妇的医疗保健经历、病史和死亡率可以使用医疗保险数据进行纵向评估。我们总结了使用医疗保险管理记录中的数据来研究婚姻、健康和老龄化的优点和局限性。我们通过证明在临终关怀患者队列中生存的显著差异不仅是患者自己的诊断和疾病负担的函数，也是患者配偶的疾病负担的函数，从而说明了该方法。
We describe a method for the development of cohorts of up to three quarters of the 14 million married couples aged 65 and over in the United States. The health care experiences, illness histories, and mortality of these identified couples can be assessed longitudinally using Medicare data. We summarize strengths and limitations of using data from Medicare administrative records for the study of marriage, health, and aging. We illustrate the method by demonstrating substantial differences in survival in a cohort of hospice patients as a function of not only the patient's own diagnosis and illness burden but also the patient's spouse's illness burden.