Variations Among Medicare Beneficiaries Living in Different Settings: Demographics, Health Status, and Service Use
Variations Among Medicare Beneficiaries Living in Different Settings: Demographics, Health Status, and Service Use
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DOI：
10.1177/0164027515598557
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发表时间：
2016-07-01
影响因子：
2.6
通讯作者：
Nadash, Pamela
中科院分区：
文献类型：
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作者：
Degenholtz, Howard B.;Park, Mijung;Nadash, Pamela
有复杂健康问题和需要功能支持的老年人越来越多地生活在不同类型的寄宿护理环境中，作为疗养院的替代方案。本研究旨在比较医疗保险受益人的人口统计数据和医疗保健支出，通过他们居住的环境：养老院，住宿护理机构和在家使用2002年至2010年医疗保险当前受益人研究（MCBS）的数据，这是一项全国代表性的医疗保险人口调查。所有参加秋季MCBS访谈（2002-2010年）且全年存活的65岁或以上的医疗保险受益人（N = 83,507）均被纳入样本。我们发现，在健康状况、身体和认知功能以及医疗保健使用和支出方面存在梯度。少数民族老年人在设施中人数过多，而在替代生活环境中人数不足。
Older people with complex health issues and needs for functional support are increasingly living in different types of residential care environments as alternatives to nursing homes. This study aims to compare the demographics and health-care expenditures of Medicare beneficiaries by the setting in which they live: nursing homes, residential care settings, and at home using data from the 2002 to 2010 Medicare Current Beneficiary Study (MCBS), a nationally representative survey of the Medicare population. All Medicare beneficiaries aged 65 years or older who participated in the fall MCBS interview (years 2002-2010) and were alive for the full year (N = 83,507) were included in the sample. We found that there is a gradient in health status, physical and cognitive functioning, and health-care use and spending across settings. Minority elderly are overrepresented in facilities and underrepresented in alternative living settings.