Sloan F A, Taylor D H, Picone G
Center for Health Policy, Law and Management, Terry Sanford Institute of Public Policy, Duke University, Durham, NC 27708, USA.
Am J Public Health. 1999 Jun;89(6):935-7. doi: 10.2105/ajph.89.6.935.
This study quantified changes in Medicare payments and outcomes for hip fracture and stroke from 1984 to 1994.
We studied National Long Term Care Survey respondents who were hospitalized for hip fracture (n = 887) or stroke (n = 878) occurring between 1984 and 1994. Changes in Medicare payment and survival were primary outcomes. We also assessed changes in functional and cognitive status.
Medicare payments within 6 months increased following hip fracture (103%) or stroke (51%). Survival improved for stroke (P < .001) and to a lesser extent for hip fracture (P = .16). Condition-specific improvements were found in functional and cognitive status.
During the period 1984 to 1994, Medicare payments for hip fracture and stroke rose and there were some improvements in survival and other outcomes.
本研究对1984年至1994年医疗保险对髋部骨折和中风的支付情况及相关结果的变化进行了量化。
我们研究了1984年至1994年间因髋部骨折（n = 887）或中风（n = 878）住院的全国长期护理调查受访者。医疗保险支付的变化和生存率是主要结果。我们还评估了功能和认知状态的变化。
髋部骨折（103%）或中风（51%）后6个月内医疗保险支付增加。中风患者的生存率有所提高（P <.001），髋部骨折患者的生存率提高程度较小（P =.16）。在功能和认知状态方面发现了特定疾病的改善。
在1984年至1994年期间，医疗保险对髋部骨折和中风的支付增加，生存率和其他结果有一些改善。
