ELDERLY HEALTH AND HEALTH CARE UTILIZATION

老年人健康和医疗保健利用

• 批准号: 2054025
• 负责人: LEE A LILLARD
• 金额: $ 16.06万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-04-05 至 1999-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2054025
• 关键词: aging; family; health; health behavior; health care cost /financing; health care service utilization; health insurance; human data; income; marriage /marital status; occupations

As the debate concerning health care reform has intensified, attention has focused on the costs of illness, particularly in the elderly. The elderly are the fastest growing segment of the population in our country and consume a disproportionate share of health care resources. This study will examine long-term factors that affect health status and the use of medical care associated with poor health and disease in the elderly. The elderly bring with them a lifetime of socioeconomic history which may be important in determining health status and the use of medical services. We study the effect of long-term factors such as family background, lifetime poverty and health insurance and occupational histories on the life cycle pattern of health status. To analyze medical care use, the proposed research considers both the direct effects of long term factors, as well as the indirect effects through their determination of current private insurance coverage, their effects on current health, and finally their effect on survival to the age at which they participated in the survey to report medical expenditures. The effects of endogenous health status on the utilization of medical services is identified by prior health habits and historical exposure to occupational health risks. The effects of current coverage by private insurance are identified by job tenure, permanent wage rate, occupation, industry and union membership in the last/longest career job from detailed work histories, and measures of these variables from the spouse's work history for married women and widows. The effects of selective survival (or selective mortality) are identified by detailed timing of events in the history of marriage and living arrangements available for individuals in the PSID and by use of national vital statistics on mortality by gender, race, age and year. The proposed study uses data obtained as part of a special health supplement to the PSID in 1990 assigned by the research team as part of the original program project data acquisition core and made available as part of the PSID public use files. The project will also use the AHEAD data from the Health and Retirement Survey.

随着有关医疗改革的争论愈演愈烈，关注 重点关注疾病造成的费用，特别是老年人的费用。这 老年人是我国人口中增长最快的部分 并消耗不成比例的医疗保健资源。这项研究 将检查影响健康状况和使用的长期因素 与老年人健康状况不佳和疾病相关的医疗保健。这 老年人带来了一生的社会经济历史，这可能是 对于确定健康状况和使用医疗服务很重要。 我们研究家庭背景等长期因素的影响， 终身贫困和健康保险以及职业史 健康状况的生命周期模式。为了分析医疗保健的使用情况， 拟议的研究考虑了长期因素的直接影响， 以及通过确定当前的间接影响 私人保险覆盖范围，它们对当前健康的影响，最后 他们对参加该活动年龄的生存的影响 调查报告医疗支出。内源性健康的影响 医疗服务利用状况由事先确定 健康习惯和职业健康风险暴露史。这 当前私人保险承保范围的影响按工作确定 任期、永久工资率、职业、行业和工会会员资格 从详细的工作经历和衡量标准来看，最近/最长的职业生涯 这些变量来自已婚妇女配偶的工作经历，以及 寡妇。选择性生存（或选择性死亡）的影响是 通过婚姻历史中事件的详细时间来确定 PSID 中的个人可利用的生活安排 按性别、种族、年龄和年份分列的国家人口动态统计数据。这 拟议的研究使用作为特殊保健补充剂的一部分获得的数据 1990年由研究小组分配给PSID，作为原始的一部分 程序项目数据采集核心并作为 PSID 公共使用文件。该项目还将使用来自 健康与退休调查。