Impact of Medicare policies on utilization and outcomes.

医疗保险政策对利用和结果的影响。

• 批准号: 6915125
• 负责人: JOHN D FITZGERALD
• 金额: $ 11.48万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-07-16 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6915125
• 关键词: Medicare /Medicaid; clinical research; health care cost /financing; health care policy; health care service evaluation; health care service utilization; health economics; health insurance; health services research tag; hip fractures; hip surgery; home health care; human data; joint prosthesis; managed care; orthopedics; statistics /biometry

DESCRIPTION (provided by applicant): The candidate is a board-certified rheumatologist interested in applying the methodology of health economics to study fiscal policies that impact the care of patients suffering from arthritis and other rheumatic diseases. He is seeking external funding support so that he might have the protected time to avail himself of formal course studies, research time on the proposed project, and access to his mentors. He has a business background and is currently enrolled in the UCLA School of Public Health, Health Services Ph.D. degree program, with an emphasis on Health Economics. UCLA provides an excellent environment for the development of his career. The Department of Medicine provides formal support for its young investigators through the Scientific Training and Advanced Research program. UCLA has excellent health service researchers and health economists in the Schools of Public Health and Medicine. UCLA has a close working relationship with RAND and the RAND Graduate School. During the award, the candidate will take classes required to complete his Ph.D. degree. A portion of the proposed research will serve as his dissertation. He has enlisted a team of health economists, health service researchers, a rheumatologist and a statistician to teach him the skills he needs to complete the proposed research and to develop his career as an independent researcher with health economic and arthritis expertise. He has proposed to study the impact of the Balanced Budget Act expenditure cuts on post-acute care utilization and clinical outcomes on a 100% sample of Medicare patients who have undergone elective joint replacement surgery or surgical management of hip fracture. He has also proposed to examine managed care cost-shifting to the fee for service sector by studying managed care disenrollment prior to planned surgery (elective joint replacement) and disenrollment prior to unplanned surgery (hip fracture).

描述（由申请人提供）：候选人是委员会认证的

项目成果

Impact of the Medicare Short Stay Transfer Policy on patients undergoing major orthopedic surgery.

医疗保险短期转院政策对接受大型骨科手术的患者的影响。

• DOI: 10.1111/j.1475-6773.2006.00606.x
• 发表时间: 2007
• 期刊: Health services research
• 影响因子: 3.4
• 作者: FitzGerald,JohnD;Boscardin,WJohn;Hahn,BevraH;Ettner,SusanL
• 通讯作者: Ettner,SusanL