波多黎各老年居民对医疗保险服务的使用情况。
Use of Medicare services by elderly residents of Puerto Rico.
作者信息
McBean A Marshal, Bubolz Thomas A, Conde José G, Barosso Geralyn M
机构信息
Division of Health Services Research and Policy, University of Minnesota School of Public Health, MMC 97, Mayo Memorial Building, 420 Delaware St., S.E., Minneapolis, MN 55455, USA.
出版信息
P R Health Sci J. 2003 Jun;22(2):111-8.
OBJECTIVES
We describe hospitalization rates among Medicare beneficiaries resident in Puerto Rico compared to beneficiaries in the mainland U.S., in 1999.
METHODS
A cross-sectional analysis using Medicare Denominator and hospitalization files.
RESULTS
The rate ratio (PR/U.S.) of age, gender-adjusted hospitalizations among elderly Medicare beneficiaries with Part A coverage was 0.78, compared with 0.92 among beneficiaries with both Part A and Part B coverage. Among the latter, the rate ratios were 0.78 for surgical admissions, 1.08 for low-variation medical conditions, and 0.97 for high variation medical conditions. They were higher for younger elderly beneficiaries.
CONCLUSIONS
Rates of hospitalization in Puerto Rico may be lower, the same or exceed those of the mainland U.S. depending on the age of the beneficiary and the type of hospitalization.
目的
我们描述了1999年居住在波多黎各的医疗保险受益人相较于美国本土受益人的住院率。
方法
使用医疗保险分母和住院文件进行横断面分析。
结果
在享有A部分保险的老年医疗保险受益人中，经年龄、性别调整后的住院率比值（波多黎各/美国）为0.78，而在享有A部分和B部分保险的受益人中，该比值为0.92。在后者中，手术入院的比值为0.78，低变异医疗状况的比值为1.08，高变异医疗状况的比值为0.97。年轻老年受益人的该比值更高。
结论
波多黎各的住院率可能低于、等于或超过美国本土，这取决于受益人的年龄和住院类型。
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