...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Military Medicine >A Four-System Comparison of Patients With Chronic Illness: The Military Health System, Veterans Health Administration, Medicaid, and Commercial Plans
【24h】

A Four-System Comparison of Patients With Chronic Illness: The Military Health System, Veterans Health Administration, Medicaid, and Commercial Plans

机译：慢性病患者的四系统比较：军事卫生系统，退伍军人健康管理局，医疗补助和商业计划

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We compared chronic care utilization in four major health systems in the U.S.: the military health system (TRICARE), the Department of Veterans Affairs (VA), Medicaid, and employer-sponsored commercial plans. Prevalence rates and key performance indicators were constructed from administrative data in federal fiscal year 2003 for eight chronic conditions: hypertension, major depression, diabetes, tobacco dependence, ischemic heart disease, severe mental illness, persistent asthma, and stroke. Continuously enrolled beneficiaries under 65 years old were studied: TRICARE (N = 2,963,987), VA (N = 2,114,739), Medicaid enrollees in five states (N = 5,554,974), and commercial insurance (N = 5,212,833). Condition-specific adjusted prevalence rates and measures were compared using the standardized rate ratio. For the majority of the conditions, the estimated prevalence rates were highest in the VA and Medicaid populations. Prevalence rates were generally lower in TRICARE and commercial plans. Medicaid beneficiaries had the highest hospitalization rates in four of the six conditions where hospitalization rates were measured. These results provide empirical evidence of differences in chronically ill patient populations in several of the major U.S. health insurance systems.
机译：我们比较了美国四个主要卫生系统中的长期护理利用情况：军事卫生系统（TRICARE），退伍军人事务部（VA），医疗补助和雇主赞助的商业计划。患病率和关键绩效指标是根据2003财年联邦行政数据得出的八种慢性病：高血压，重度抑郁，糖尿病，烟草依赖，缺血性心脏病，严重精神疾病，持续性哮喘和中风。对65岁以下连续入学的受益人进行了研究：TRICARE（N = 2,963,987），VA（N = 2,114,739），五个州的医疗补助参保者（N = 5,554,974）和商业保险（N = 5,212,833）。使用标准化比率对特定条件下调整的患病率和措施进行比较。在大多数情况下，VA和Medicaid人群的估计患病率最高。在TRICARE和商业计划中，患病率普遍较低。在衡量住院率的六个条件中的四个中，医疗补助受益人的住院率最高。这些结果提供了一些主要的美国健康保险系统中慢性病患者人群差异的经验证据。

著录项

  • 来源
    《Military Medicine》 |2009年第9期|p.936-943|共8页
  • 作者

    Teresa B Gibson Todd A Lee Christine S Vogeli Julia Hidalgo Ginger Smith Carls Katherine Snedl Susan DesHarnais William D Marder Kevin B Weiss Thomas V Williams Alexandra E Shields;

  • 作者单位

    Teresa B. Gibson, PhD*, Todd A. Lee, PharmD, PhD[dagger], Christine S. Vogeli, PhD[double dagger], Julia Hidalgo, ScD, MSW, MPH§, Ginger Smith Carls, MA||, Katherine Sredl, BA||, Susan DesHarnais, PhD¶, William D. Marder, PhD**, Kevin B. Weiss, MD, MPH[dagger], Thomas V. Williams, PhD[dagger][dagger], Alexandra E. Shields, PhD[double dagger]* Thomson Reuters, 777 E. Eisenhower Parkway, Ann Arbor, MI 48108.[dagger] Edward Hines, Jr. VA Hospital, 5th and Roosevelt Road, Hines, IL 60141.[double dagger] Massachusetts General Hospital, 50 Staniford Street, 9th floor. Suite 901, Boston, MA 02114.§ George Washington University School of Public Health and Health Services, 2021 K Street, NW, Suite 800, Washington, DC 20006.|| Thomson Reuters, 5425 Hollister Avenue, Santa Barbara, CA 93111-2348.¶ Thomas Jefferson University School of Population Health, 1015 Walnut Street, Curtis Bldg. Suite 1 15, Philadelphia, PA 19107.** Thomson Reuters, 150 Cambridge Park Drive, Cambridge, MA 02140.[dagger][dagger] Department of Defense, 5111 Leesburg Pike, Suite 8 10, Falls Church, VA 22041-3206.Summary results from this study were presented at the 2007 Academy Health Annual Research Meeting in Orlando, FL on June 3, 2007.The opinions or assertions herein are those of the authors and do not reflect the policy or position of the U.S. Department of Defense or the U.S. Government.This manuscript was received for review in October 2008. The revised manuscript was accepted for publication in May 2009.,;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号