Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.
Am J Manag Care. 2011 Oct;17 Suppl 12:S.
In recent research, we explored the impact of the Medicare Part D program on hospitalization rates for ambulatory care-sensitive conditions (ACSCs) among elderly Americans.1 Our results indicate that Part D reduced a summary measure of ACSC hospitalization by 20.5 per 10,000, a percentage change of 4.1 percent. This change represents approximately 42,000 admissions, roughly half of the overall reduction in admissions in our 23-state sample during our study period (2005-2007). In this brief, we explore the state-level implications of the findings from our paper, by estimating the number of avoided hospitalizations in each state.
在最近的研究中,我们探讨了医疗保险部分 D 计划对美国老年人门诊护理敏感条件(ACSC)住院率的影响。1 我们的研究结果表明,部分 D 计划使 ACSC 住院的综合衡量指标降低了每 10000 人 20.5 人,百分比变化为 4.1%。这一变化代表了大约 42000 次住院,大约占我们研究期间(2005-2007 年)23 个州样本中总住院人数减少的一半。在这份简报中,我们通过估计每个州避免的住院人数,探讨了我们论文研究结果在州一级的意义。