在生命的最后一年中，医疗保险支付的长期趋势。
Long-term trends in Medicare payments in the last year of life.
机构信息
Office of Research Development and Information, Centers for Medicare and Medicaid Services, 7500 Security Blvd., Mail Stop C3-21-28, Baltimore, MD 21244, USA.
出版信息
Health Serv Res. 2010 Apr;45(2):565-76. doi: 10.1111/j.1475-6773.2010.01082.x. Epub 2010 Feb 9.
Abstract
OBJECTIVE
To update research on Medicare payments in the last year of life.
DATA SOURCES
Continuous Medicare History Sample, containing annual summaries of claims data on a 5 percent sample from 1978 to 2006.
STUDY DESIGN
Analyses were based on elderly beneficiaries in fee for service. For each year, Medicare payments were assigned either to decedents (persons in their last year) or to survivors (all others).
RESULTS
The share of Medicare payments going to persons in their last year of life declined slightly from 28.3 percent in 1978 to 25.1 percent in 2006. After adjustment for age, sex, and death rates, there was no significant trend.
CONCLUSIONS
Despite changes in the delivery of medical care over the last generation, the share of Medicare expenditures going to beneficiaries in their last year has not changed substantially.
摘要
目的
更新过去一年中医疗保险支付的研究。
资料来源
连续医疗保险历史样本，包含了 1978 年至 2006 年的一项 5%的抽样索赔数据的年度总结。
研究设计
分析基于按服务收费的老年受益人。对于每一年，医疗保险的支付要么分配给死者（在他们生命的最后一年的人），要么分配给幸存者（所有其他人）。
结果
在生命的最后一年中，医疗保险支付的份额从 1978 年的 28.3%略微下降到 2006 年的 25.1%。在调整了年龄、性别和死亡率后，没有明显的趋势。
结论
尽管在上一代中医疗保健的提供方式发生了变化，但医疗保险支出中用于受益人的最后一年的份额并没有发生实质性的变化。
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