PUBLIC POLICY FOR AN AGING SOCIETY

本研究探讨了两个与老龄化有关的公共政策问题， 社会：老年人福祉的衡量;以及 替代性医疗保健报销制度， 结果。 第一个项目比较和对比基于收入的措施 以消费和直接获取为基础的措施来衡量 资源 该项目将利用消费和资源数据 在过去30年里，老年人和非老年人都能获得 人口。 将使用随时间推移和跨年龄组的比较 确定需要政府支持的人口，并预测 随着人口老龄化，资源需求。 第二个项目考虑替代偿还的后果 提供医疗服务的政策。 有三个组成部分 这项工作;预期付款对治疗和不良反应的影响 医疗结果;医院技术采购的响应性， 预期的补偿;以及国家无偿护理的影响 为无保险者提供护理的资金池。 该项目认为， 医院护理的供应是否对报销的变化作出反应 系统，以及这些供应反应是否反过来影响基础 医院病人的健康。 该项目使用国家和州的数据， 医院的入院人数，不同技术所有权的数据， 医院类型，以及由于预期的 支付和国家无偿护理池。

This research examines two public policy issues related to the aging of society: the measurement of well-being among the aged; and the effects of alternative health care reimbursement systems on medical treatments and outcomes. The first project compares and contrasts income based measures of well-being with measures based on consumption and direct access to resources. The project will utilize data on consumption and resource access over the past 30 years, for both the elderly and non-elderly populations. The comparisons over time and across age groups will be used to identify the population in need of government support, and to forecast resource needs as the population ages. The second project considers the consequences of alternative reimbursement policies for the delivery of medical services. There are three components to this work; the effect of prospective payment on treatments and adverse medical outcomes; the responsiveness of hospital technology acquisition to prospective reimbursement; and the implications of state uncompensated care pools for the provision of care to the uninsured. The project considers whether the supply of hospital care responds to changes in reimbursement systems, and whether these supply responses in turn affect the underlying health of hospital patients. The project uses national and state data on admissions to hospitals, data on the ownership of technology by different types of hospitals, and data on price changes resulting from prospective payment and state uncompensated care pools.