Annual Expenditures for Nursing Home Care Private and Public Payer Price Growth, 7977 to 2004
Annual Expenditures for Nursing Home Care Private and Public Payer Price Growth, 7977 to 2004
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DOI：
10.1097/mlr.0b013e3181893f8e
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发表时间：
2009-03-01
期刊：
影响因子：
3
通讯作者：
Lakdawalla, Darius N.
中科院分区：
文献类型：
--
作者：
Stewart, Kate A.;Grabowski, David C.;Lakdawalla, Darius N.
背景：长期疗养院护理主要由自付费用和公共医疗补助计划资助。很少有研究探讨价格增长在疗养院护理，特别是趋势的真实的成本的一年花在nursinghome.Objectives：评估变化的私人和公共价格每年疗养院护理从1977年至2004年，并比较疗养院价格增长的整体价格增长和增长的医疗保健价格。我们估计1977年至2004年之间的私人护理价格从全国养老院调查的数据。我们比较了私人疗养院的价格增长，从国家医疗补助办公室的调查获得的公共价格，并评估了劳工统计局消费者价格指数比较价格的疗养院，医疗保健，一般商品和服务随着时间的推移。结果：每年的私人支付疗养院的价格增长了7.5%，每年从1977年的8645美元到2004年的60,249美元。医疗补助价格每年增长6.7%，从1979年的9491美元增长到2004年的48,056美元。1977年至2004年期间，私人支付养老院护理的年价格增长超过了医疗保健和其他商品和服务（分别为7.5%对6.6%和4.4%）。结论：由于人口老龄化和近老年人的残疾程度较高，养老院价格近期的快速增长可能会持续下去。结果将给医疗补助计划带来越来越大的财政压力。更好的护理价格数据对政策制定者和研究人员至关重要。
Background: Long-term nursing home care is primarily funded by out-of-pocket payments and public Medicaid programs. Few studies have explored price growth in nursing home care, particularly trends in the real cost of a year spent in a nursing home.Objectives: To evaluate changes in private and public prices for annual nursing home care from 1977 to 2004, and to compare nursing home price growth to overall price growth and growth in the price of medical care.Research Design: We estimated annual private prices for nursing home care between 1977 and 2004 using data from the National Nursing Home Survey. We compared private nursing home price growth to public prices obtained from surveys of state Medicaid offices, and evaluated the Bureau of Labor Statistics Consumer Price Indexes to compare prices for nursing homes, medical care, and general goods and services over time.Results: Annual private pay nursing homes prices grew by 7.5% annually from $8645 in 1977 to $60,249 in 2004. Medicaid prices grew by 6.7% annually from $9491 in 1979 to $48,056 in 2004. Annual price growth for private pay nursing home care outpaced medical care and other goods and services (7.5% vs. 6.6% and 4.4%, respectively) between 1977 and 2004.Conclusions: The recent rapid growth in nursing home prices is likely to persist, because of an aging population and greater disability among the near-elderly. The result Will place increasing financial pressure on Medicaid programs. Better data on nursing prices are critical for policy-makers and researchers.