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退休工人的健康状况:生存状况与医疗保险服务使用情况

Health of retired workers: survival status and Medicare service use.

作者信息

McCoy J L, Iams H M, Packard M D, Shapiro J

机构信息

Social Security Administration, Washington, DC 20008.

出版信息

Health Care Financ Rev. 1992 Spring;13(3):65-76.

Abstract

Data from the Social Security Administration's 1982 New Beneficiary Survey and Master Beneficiary Record were matched with 1984 data from the Medicare Automated Data Retrieval System to study the effects of self-reported health on subsequent health service usage and survival. Proportionately, more new retired workers who reported poorer health in 1982 were decreased by December 1984. Functionally dependent beneficiaries as determined by the Functional Capacity Limitation Index had death rates four to five times greater than those who reported no limitations. The health status of retired workers who received Social Security benefits before age 65 was no better than beneficiaries 65 or over. Decedents were more likely than survivors to incur Medicare charges, and to have substantially higher median charges--$8,834 compared with $285.

摘要

社会保障管理局1982年新受益调查和主要受益记录的数据与医疗保险自动数据检索系统1984年的数据相匹配,以研究自我报告的健康状况对随后医疗服务使用和生存的影响。按比例计算,1982年报告健康状况较差的新退休工人到1984年12月有所减少。根据功能能力限制指数确定的功能依赖受益人死亡率比报告无限制的受益人高四到五倍。65岁之前领取社会保障福利的退休工人的健康状况并不比65岁及以上的受益人好。与幸存者相比,死者更有可能产生医疗保险费用,且中位数费用大幅更高——分别为8834美元和285美元。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e2e/4193241/2430d9f42850/hcfr-13-3-65-g001.jpg

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