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The utility of the integrated design of the Medical Expenditure Panel Survey to inform mortality related studies

机译：医疗支出小组调查的综合设计可用于与死亡率相关的研究

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摘要

The analytic capacity of surveys can be dramatically enhanced through the linkage to existing secondary data sources at higher levels of aggregation as well as through direct matches to additional health and socio-economic measures acquired for the same set of sample units from other sources of survey specific or administrative data. In this paper, the capacity of the Medical Expenditure Panel Survey (MEPS) to enhance longitudinal analyses focused on mortality studies is discussed. The first set of analyses examines the differentials in pre-dispositional factors that distinguish a representative group of decedents from their surviving counterparts. This is followed by a more extensive model-based study to assess the relationship between antecedent health and health care related factors and mortality. The relationship between medical expenditure levels over time and mortality is also examined to illustrate the enhanced set of longitudinal analyses that are possible through this framework. These longitudinal analyses are based on linkages of the MEPS to the National Health Interview Survey and the National Death Index.
机译：通过与更高层次的现有二级数据源建立链接，以及与从其他特定于调查的其他来源为同一组样本单位获得的其他卫生和社会经济措施的直接匹配，可以大大提高调查的分析能力或管理数据。在本文中，讨论了医疗支出小组调查（MEPS）加强针对死亡率研究的纵向分析的能力。第一组分析检查了易感因素的差异，这些因素将后代中的代表性群体与幸存者相区分。接下来是更广泛的基于模型的研究，以评估先前的健康和与健康相关的因素与死亡率之间的关系。还检查了一段时间内医疗支出水平与死亡率之间的关系，以说明通过此框架可能进行的一组增强的纵向分析。这些纵向分析是基于MEPS与国民健康访问调查和国民死亡指数之间的联系。

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