医疗保险服务的差异：潜在原因、合理阐释及建议。
Disparities in Medicare services: potential causes, plausible explanations, and recommendations.
作者信息
Gornick M E
机构信息
Georgetown Public Policy Institute, USA.
出版信息
Health Care Financ Rev. 2000 Summer;21(4):23-43.
Abstract
Race/ethnicity and socioeconomic status (SES) are associated with the use of Medicare services. In this article, the author juxtaposes disparities in health outcome measures (including death rates for heart disease, cancer, and stroke) with disparities in the use of elective services expected to improve health, and with disparities in the use of non-elective services associated with poor management of chronic disease. This approach is intended to provide information for judging (a) the reasonableness of the explanations offered for disparities in Medicare utilization and (b) the recommendations made to effect change.
摘要
种族/民族和社会经济地位（SES）与医疗保险服务的使用相关。在本文中，作者将健康结果指标方面的差异（包括心脏病、癌症和中风的死亡率）与预期能改善健康的选择性服务使用方面的差异，以及与慢性病管理不善相关的非选择性服务使用方面的差异并列起来。这种方法旨在提供信息，以判断（a）针对医疗保险使用差异所给出解释的合理性，以及（b）为实现变革而提出的建议。
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