老年人慢性病的终生负担。
The lifetime burden of chronic disease among the elderly.
作者信息
Joyce Geoffrey F, Keeler Emmett B, Shang Baoping, Goldman Dana P
机构信息
RAND, Santa Monica, California, USA.
出版信息
Health Aff (Millwood). 2005;24 Suppl 2(Suppl 2):W5R18-29. doi: 10.1377/hlthaff.w5.r18.
Abstract
The high costs of treating chronic diseases suggest that reducing their prevalence would improve Medicare's financial stability. In this paper we examine the impact of selected chronic diseases on the distribution of health spending and its variation over the course of disease. We also use a microsimulation model to estimate these conditions' impact on life expectancy and health spending from age sixty-five to death. A sixty-five-year-old with a serious chronic illness spends 1000-2000 dollars more per year on health care than a similar adult without the condition. However, cumulative Medicare payments are only modestly higher for the chronically ill because of their shorter life expectancy.
摘要
慢性病的高昂治疗成本表明，降低其患病率将改善医疗保险的财务稳定性。在本文中，我们研究了特定慢性病对医疗支出分布及其在疾病过程中的变化的影响。我们还使用微观模拟模型来估计这些疾病对65岁至死亡期间预期寿命和医疗支出的影响。患有严重慢性病的65岁老人每年在医疗保健上的花费比没有这种疾病的类似成年人多1000 - 2000美元。然而，由于慢性病患者的预期寿命较短，医疗保险的累计支付仅略高一些。
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