Receipt Of Home-Based Medical Care Among Older Beneficiaries Enrolled In Fee-For-Service Medicare.
Receipt Of Home-Based Medical Care Among Older Beneficiaries Enrolled In Fee-For-Service Medicare.
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DOI：
10.1377/hlthaff.2019.01537
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发表时间：
2020-08
期刊：
影响因子：
--
通讯作者：
Ornstein K
中科院分区：
文献类型：
--
作者：
Reckrey JM;Yang M;Kinosian B;Bollens-Lund E;Leff B;Ritchie C;Ornstein K
数以百万计的美国老年人在家，他们可以从家庭医疗保健（HBMC）中受益。我们对2011年至2017年全国健康与老龄化趋势研究中接受调查的≥65岁社区居住、按服务收费的医疗保险受益人的HBMC接受情况进行了分析。5%的受访者在2011年至2017年期间接受了任何HBMC（平均随访3.4年/人），75%的HBMC接受者是在家接受治疗的。在2011年至2017年期间，只有11%的居家人口（2017年约有440万按服务收费的医疗保险受益人）获得了任何HBMC。在大都市地区和辅助生活设施的家庭中，HBMC的接收更为普遍，这表明地理因素创造了HBMC实践的运营效率，可能会提高他们在按服务收费的报销设置下的财务可持续性。这一高需求、高成本人群的重大需求未得到满足，以及HBMC已知的健康和成本效益，应促使利益相关者扩大HBMC的可用性。
Millions of older Americans are homebound and may benefit from home-based medical care (HBMC). We characterized receipt of HBMC among community-dwelling, fee-for-service Medicare beneficiaries ages ≥65 surveyed in the National Health and Aging Trends Study between 2011 and 2017. Five percent of those surveyed received any HBMC between 2011 and 2017 (mean follow-up of 3.4 years/ individual) and 75% of HBMC recipients were homebound. Only 11% of the total homebound population (approximately 4.4 million fee-for-service Medicare beneficiaries in 2017) received any HBMC between 2011 and 2017. Receipt of HBMC was more common among the homebound living in metropolitan areas and assisted living facilities, suggesting that geographic factors create operational efficiencies for HBMC practices that may improve their financial sustainability within the fee-for-service reimbursement setting. The significant unmet needs of this high-need, high-cost population and the known health and costs benefits of HBMC should spur stakeholders to expand the availability of HBMC.
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影响因子：
6.3
作者：
Edes, Thomas;Kinosian, Bruce;Hossain, Monir
通讯作者：
Hossain, Monir
影响因子：
1.1
作者：
Landers S;Madigan E;Leff B;Rosati RJ;McCann BA;Hornbake R;MacMillan R;Jones K;Bowles K;Dowding D;Lee T;Moorhead T;Rodriguez S;Breese E
通讯作者：
Breese E
影响因子：
3
作者：
Harrison, Krista L.;Leff, Bruce;Ritchie, Christine S.
通讯作者：
Ritchie, Christine S.
影响因子：
6.3
作者：
Bynum JPW;Chang CH;Austin A;Carmichael D;Meara E
通讯作者：
Meara E
影响因子：
39
作者：
Ornstein KA;Leff B;Covinsky KE;Ritchie CS;Federman AD;Roberts L;Kelley AS;Siu AL;Szanton SL
通讯作者：
Szanton SL