Use of electroconvulsive therapy in the Medicare population between 1987 and 1992.
Use of electroconvulsive therapy in the Medicare population between 1987 and 1992.
复制标题
1987 年至 1992 年间，医疗保险人群使用电休克疗法。
DOI：
10.1176/ps.48.12.1537
复制
发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Dorwart,RA
中科院分区：
文献类型：
--
作者：
Rosenbach,ML;Hermann,RC;Dorwart,RA
使用电休克疗法（ECT）在医疗保险的人口进行了检查，以记录的趋势和变化率的使用，支出和模式的treatment.MethodsMedicare部分B登记和索赔数据被用于1987年至1992年的5%的全国代表性样本的医疗保险受益人。描述性和多变量analysesperformed.ResultsWeighted结果显示，全国范围内的医疗保险受益人与ECT治疗的数量从12,000年在1987年增加到15,560年在1992年。每10，000名医疗保险受益人的ECT使用率也从4.2增加到5.1。女性、白人和残疾人（65岁以下）的使用率有所增加。男性，非白人和老年人没有分享增长。利用和支出数据显示，增加门诊ECT和减少住院使用1987年和1992年之间。医疗保健计划B部分ECT在门诊病人中的支出份额稳步上升，从1987年的7%上升到1992年的16%。患者平均8 ECT治疗，范围从6.7在西部到8.3在Northeast.ConclusionsThe研究结果文件，经过一段时间的下降使用在美国，ECT使用在医疗保险人群增加1987年和1992年之间。该分析还记录了门诊ECT使用增加的转变。
ObjectiveUse of electroconvulsive therapy (ECT) in the Medicare population was examined to document trends and variations in the rate of use, expenditures, and patterns of treatment.MethodsMedicare part B enrollment and claims data were used for a 5 percent nationally representative sample of Medicare beneficiaries for calendar years 1987 through 1992. Descriptive and multivariate analyses were performed.ResultsWeighted results showed that nationally the number of Medicare beneficiaries treated with ECT increased from 12,000 in 1987 to 15,560 in 1992. The rate of ECT use per 10,000 Medicare beneficiaries also increased from 4.2 to 5.1. Increases in use occurred among women, whites, and the disabled population (under age 65). Males, nonwhites, and the elderly did not share in the increase. Utilization and expenditure data showed an increase in outpatient ECT and a decrease in inpatient use between 1987 and 1992. The share of Medicare part B ECT expenditures in the outpatient setting increased steadily, from 7 percent in 1987 to 16 percent in 1992. Patients averaged eight ECT treatments, ranging from 6.7 in the West to 8.3 in the Northeast.ConclusionsThe findings document that after a long period of declining use in the United States, ECT use in the Medicare population increased between 1987 and 1992. The analysis also documents a shift toward increasing use of outpatient ECT.