Arling G, Buhaug H, Hagan S, Zimmerman D
Center for Health Systems and Research and Analysis, University of Wisconsin-Madison 53706.
Gerontologist. 1991 Apr;31(2):174-82. doi: 10.1093/geront/31.2.174.
We examined Medicaid spenddown among nursing home residents from 72 facilities in Wisconsin during 1988. Results indicate that only a small proportion (12%) of discharges from these facilities had spent down to Medicaid eligibility. This represents about one-fourth (23%) of persons who had been admitted private pay. Moreover, we estimated that over 40% of those who spent down to Medicaid did so within 6 months, 58% spent down within a year, and 76% spent down within 2 years. Even though a relatively small percentage of residents spent down, this group had very long stays (median stay greater than 3 years) and thus contributed quite heavily to nursing home days.
我们研究了1988年威斯康星州72家疗养院中医疗补助“消费用尽”的情况。结果表明，这些疗养院中只有一小部分（12%）出院患者的花费降至符合医疗补助资格的水平。这约占自费入院患者的四分之一（23%）。此外，我们估计，降至符合医疗补助资格水平的患者中，超过40%是在6个月内做到的，58%在1年内，76%在2年内。尽管消费用尽的居民比例相对较小，但这一群体住院时间很长（中位住院时间超过3年），因此对疗养院的住院天数贡献颇大。
