Beyond survey data: a claims-based analysis of drug use and spending by the elderly.
Beyond survey data: a claims-based analysis of drug use and spending by the elderly.
复制标题
超越调查数据：基于索赔的老年人药物使用和支出分析。
作者：
Earl P. Steinberg;Benjamin Gutierrez;Aiman Momani;Joseph A. Boscarino;Patricia Neuman;Patricia Deverka
之前对 Medicare 受益人在门诊处方药上的总支出和自付费用的估计主要基于 1995 年 Medicare 当前受益人调查的数据，并重点关注具有不同人口特征的受益人之间的支出差异。本文报告了对 1998 年以来由 Merck-Medco Managed Care 管理的超过 375,000 名处方福利老年人的处方索赔分析结果。除了研究保险充足人群的总药物支出和自付费用如何随年龄和性别变化外，我们还报告了患有十种常见慢性病的老年人的总药物支出和特定病情的药物支出如何变化。我们的研究结果表明，处方药支出存在高度倾斜的性质，即使在那些有药物承保的人群中也是如此，并强调了药品给患有慢性病的老年人带来的特别高的成本负担。
Previous estimates of Medicare beneficiaries total and out-of-pocket spending on outpatient prescription drugs have largely been based on data from the 1995 Medicare Current Beneficiary Survey and have focused on how expenditures vary among beneficiaries with different demographic characteristics. This paper reports the results of an analysis of prescription claims from 1998 for more than 375,000 elderly persons whose prescription benefit was managed by Merck-Medco Managed Care. In addition to examining how total and out-of-pocket drug spending in a well-insured population varies by age and sex, we report how total and condition-specific drug spending varies for elderly persons with ten common chronic diseases. Our results illustrate the highly skewed nature of prescription drug spending, even among those with drug coverage, and underscore the particularly high cost burden that pharmaceuticals place on elderly people with chronic diseases.
医疗保险参保者的处方药承保不足——呼吁采取行动。
DOI：
10.1056/nejm199903043400909
发表时间：
1999
期刊：
The New England journal of medicine.
影响因子：
--
作者：
Soumerai,SB;Ross-Degnan,D
通讯作者：
Ross-Degnan,D