老年人视力障碍、治疗及其影响-猫眼课题宝

老年人视力障碍、治疗及其影响

批准号：

7469455

负责人：

FRANK A SLOAN

金额：

$24.7万

依托单位：

DUKE UNIVERSITY

依托单位国家：

美国

项目类别：

财政年份：

2001

资助国家：

美国

项目状态：

已结题

起止时间：

2001-04-15 至 2009-07-31

来源：

https://reporter.nih.gov/project-details/7469455

关键词：

Academy Address Adherence Adverse event Advisory Committees Age Age related macular degeneration Aged, 80 and over American Americas Amputation Area Association Learning Biological Preservation Blindness Caring Cataract Cataract Extraction Centers for Disease Control and Prevention (U.S.)Chronic Chronic Disease Clinical Code Complications of Diabetes Mellitus Cost of Illness Data Data Sources Databases Depth Diabetes Mellitus Diabetic Retinopathy Diagnosis Disease Disease Progression Elderly Elements Enrollment Evidence Based Medicine Expenditure Eye Eye diseases Family Feedback Frequencies Future Glaucoma Guidelines Health Health Care Costs Health Services Hospitalization Incidence Intervention Joints Long-Term Care Longitudinal Studies Medical Surveillance Medicare Medicare/Medicaid Methodology Methods Monitor Myocardial Infarction National Health and Nutrition Examination Survey Nature Ophthalmic examination and evaluation Ophthalmology Other Therapy Outcome Outcome Measure Paper Patient-Focused Outcomes Patients Patterns of Care Period Analysis Personal Communication Persons Pharmacologic Substance Policies Population Practice Guidelines Prevalence Preventive Price Process Productivity Provider Publishing Randomized Controlled Trials Rate Reading Recommendation Relative (related person)Research Research Personnel Retinal Diseases Retirement Role Sampling Screening procedure Services Societies Stroke Subgroup Surveys System Techniques Testing Therapeutic Intervention Therapeutic Uses Therapeutic procedure Time Translating Upper arm Vision Visit Visual Visual impairment Work administrative database base beneficiary community based care cost diabetic disorder control follow-up improved insight instrumental activity of daily living interest population survey prevent programs racial difference tool treatment effect trend

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DESCRIPTION (provided by applicant): This study, which is a competing renewal application, has three aims: In Aim 1, we expand our current ongoing study of longitudinal use of eye care services among the elderly for diabetic retinopathy (DR), glaucoma, and age-related macular degeneration (ARMD) to include cataract. Arm 1 will describe trends in use of therapeutic interventions for the four eye diseases; assess determinants of use of therapeutic procedures for glaucoma, DR, and ARMD, as well as the role of Medicare pricing policies in determining rates of cataract surgery. Aim 2 will extend our analysis of adherence with practice guidelines for vision care and its effects on visual outcomes to include use of therapeutic services, and their productivity as a function of regular monitoring. We add additional outcome measures not used in our current study, pharmaceutical as well as other therapies, longer time periods for analysis, and new data. In Aim 3, we assess utilization, adherence to guidelines, the productivity of various therapeutic interventions, and outcomes associated with diabetes mellitus (DM) other than retinopathy (e.g., heart attack, stroke, and amputation) for elderly persons with diabetes mellitus. An econometric framework for assessing joint effects of regular monitoring and treatment will be further developed and implemented. Data for this four-year extension will come from the National Long-Term Care Surveys merged with Medicare claims and enrollment data for 1984-2005, the Medicare 5% sample, and on persons aged 65+ from the Aging Dynamics of the Oldest-Old (AHEAD) and Health and Retirement Surveys (HRS) merged with Medicare claims, and the Current Medicare Beneficiary Survey (MCBS) merged with Medicare claims. Ten papers are anticipated for this four-year study.

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