负责医疗保健机构对农村老年糖尿病患者住院率的影响：早期迹象。
ACOs' Impact on Hospitalization Rates of Rural Older Adults With Diabetes: Early Indications.
作者信息
Lin Yi-Ling, Ortiz Judith, Boor Celeste
机构信息
College of Health and Public Affairs (Drs Lin and Ortiz) and Burnett Honors College (Ms Boor), University of Central Florida, Orlando.
出版信息
Fam Community Health. 2018 Oct/Dec;41(4):265-273. doi: 10.1097/FCH.0000000000000204.
Abstract
The purpose of this study was to examine the impact of Medicare Shared Savings Program Accountable Care Organizations (SSP ACOs), along with other factors, on diabetes-related hospitalization rates for rural older adults. Using an early year of the SSP ACO program, we conducted multiple linear regressions to examine the effect of ACO participation on African American and white older adults. In neither model was ACO affiliation found to have a statistically significant impact on diabetes-related hospitalization rates. This study provides baseline measures for patient outcomes during the initial years of ACO formation.
摘要
本研究的目的是检验医疗保险共享节约计划 accountable care 组织（SSP ACOs）以及其他因素对农村老年人糖尿病相关住院率的影响。利用 SSP ACO 计划的早期年份，我们进行了多元线性回归，以检验参与 ACO 对非裔美国和白人老年人的影响。在这两个模型中，均未发现 ACO 隶属关系对糖尿病相关住院率有统计学上的显著影响。本研究为 ACO 形成初期的患者预后提供了基线指标。
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本文引用的文献
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2
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3
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4
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