Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Department of Family Medicine, National Center for Primary Care, Morehouse School of Medicine, Atlanta, Georgia, USA.
Popul Health Manag. 2021 Apr;24(2):214-221. doi: 10.1089/pop.2019.0231. Epub 2020 Apr 1.
Multiple chronic conditions (MCC) reduce quality of life and are associated with high per capita health care spending. One potential way to reduce Medicare spending for MCC is to identify counties whose populations have high levels of spending compared to level of disease burden. Using a nationally representative sample of Medicare Fee-for-Service beneficiaries, this paper presents a method to measure the collective burden of several chronic conditions in a population, which the authors have termed the concentration of chronic conditions (CCC). The authors observed a significantly positive linear relationship between the CCC measure and county-level per capita Medicare spending. This area-level measure can be operationalized to identify counties that might benefit from targeted efforts designed to optimally manage and prevent chronic illness.
多种慢性疾病（MCC）降低生活质量，并与人均医疗保健支出高有关。减少医疗保险为 MCC 支出的一种潜在方法是确定与疾病负担相比，哪些县的人口支出水平较高。本文使用医疗保险按服务收费计划的全国代表性样本，提出了一种衡量人群中几种慢性疾病总体负担的方法，作者称之为慢性疾病集中程度（CCC）。作者观察到 CCC 测量值与县一级人均医疗保险支出之间呈显著正线性关系。这一区域水平的衡量标准可以用来确定可能受益于旨在优化管理和预防慢性病的有针对性努力的县。
