Markson L E, McKee L, Mauskopf J, Houchens R, Fanning T R, Turner B J
Center for Research in Medical Education and Health Care, Thomas Jefferson University, Philadelphia, PA 19107.
Health Care Financ Rev. 1994 Summer;15(4):43-59.
This article examines average monthly Medicaid expenditures after diagnosis of acquired immunodeficiency syndrome (AIDS) for the diagnosis, mid-illness, and death intervals, as well as Kaplan-Meier estimates of expenditures from AIDS diagnosis to death. A clinical severity measure (the Severity Index for Adults with AIDS [SIAA]) designed to be predictive of patient survival was applied to a population of continuously enrolled New York State Medicaid patients who survived at least 6 months after being diagnosed with AIDS. Our findings suggest that groups of more seriously ill patients who appear to have more intense demand for health care services, especially over the diagnosis and mid-illness intervals, can be identified using the SIAA.
本文研究了获得性免疫缺陷综合征（AIDS）诊断后、疾病中期和死亡期间的平均每月医疗补助支出，以及从艾滋病诊断到死亡的支出的Kaplan-Meier估计值。一种旨在预测患者生存的临床严重程度测量方法（成人艾滋病严重程度指数[SIAA]）应用于纽约州医疗补助连续参保的艾滋病确诊后至少存活6个月的患者群体。我们的研究结果表明，使用SIAA可以识别出病情较重的患者群体，这些患者群体似乎对医疗服务的需求更为强烈，尤其是在诊断和疾病中期。
