Wakim Rita, Ritchey Matthew, Hockenberry Jason, Casper Michele
Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Atlanta, GA 30341. Email:
Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Prev Chronic Dis. 2016 Dec 29;13:E180. doi: 10.5888/pcd13.160209.
Using 2012 data on fee-for-service Medicare claims, we documented regional and county variation in incremental standardized costs of heart disease (ie, comparing costs between beneficiaries with heart disease and beneficiaries without heart disease) by type of service (eg, inpatient, outpatient, post-acute care). Absolute incremental total costs varied by region. Although the largest absolute incremental total costs of heart disease were concentrated in southern and Appalachian counties, geographic patterns of costs varied by type of service. These data can be used to inform development of policies and payment models that address the observed geographic disparities.
利用2012年按服务收费的医疗保险索赔数据，我们记录了心脏病增量标准化成本（即比较患有心脏病的受益人和未患有心脏病的受益人之间的成本）在地区和县级层面按服务类型（如住院、门诊、急性后期护理）的差异。绝对增量总成本因地区而异。虽然心脏病的最大绝对增量总成本集中在南部和阿巴拉契亚县，但成本的地理模式因服务类型而异。这些数据可用于为解决所观察到的地理差异的政策和支付模式的制定提供信息。
