医疗保险受益人中预防性服务使用的预测因素。
Predictors of preventive service use among Medicare beneficiaries.
作者信息
Ozminkowski Ronald J, Goetzel Ron Z, Shechter David, Stapleton David C, Baser Onur, Lapin Pauline
机构信息
Thomson Medstat, Ann Arbor, MI 48108, USA.
出版信息
Health Care Financ Rev. 2006 Spring;27(3):5-23.
Abstract
Despite Medicare coverage, receipt of clinical preventive services is suboptimal. Using multivariate regression analyses and Medicare Current Beneficiary Survey (MCBS) data for 2001, we estimated the relationship between the number of preventive services received in the 12-month recall period and: socioeconomics, plan type, health status, health risks, and ability to address daily needs. Results are nationally representative for the study year. With the exception of blood pressure and cholesterol screening, approximately one- to two-thirds of Medicare beneficiaries did not receive recommended preventive services. Strategies should be developed to ensure appropriate use of preventive services over time.
摘要
尽管有医疗保险覆盖，但临床预防服务的接受情况仍不理想。利用多变量回归分析和2001年医疗保险当前受益人调查（MCBS）数据，我们估计了在12个月回顾期内接受的预防服务数量与以下因素之间的关系：社会经济状况、计划类型、健康状况、健康风险以及满足日常需求的能力。研究结果在全国范围内代表了该研究年份的情况。除了血压和胆固醇筛查外，约三分之一至三分之二的医疗保险受益人未接受推荐的预防服务。应制定策略，以确保随着时间的推移能适当使用预防服务。
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