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首页> 外文期刊>Journal of women’s health >Medicare Utilization and Spending Among Nurses Compared with the General United States Population
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Medicare Utilization and Spending Among Nurses Compared with the General United States Population

机译：与美国人口一般相比，护士的医疗保险利用率和支出

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Background: To better understand health habits in older nurses versus the general population, we sought to determine whether the demographics, health care utilization, and Medicare spending by the Nurses' Health Study (NHS) participants enrolled in Medicare and a matched sample of Medicare beneficiaries meaningfully differed. Materials and Methods: Analytic cohorts included a random 20% sample of Medicare beneficiaries continuously enrolled in fee for service (FFS) Medicare that were propensity matched to the NHS participants continuously enrolled in FFS Medicare in a single year (2012). Matching was based upon preselected demographic factors and health status, using a nearest-neighbor matching algorithm to obtain a 1:1 match without replacement. Healthcare utilization and spending were compared between the two groups; we also stratified findings by number of chronic comorbidities. Results: Similar rates of utilization of primary care and most outpatient services. However, NHS participants had slightly higher rates of cancer screening, specialist care, and inpatient surgery were observed. When stratified by comorbidity status, the largest differences in utilization and spending were found in women with no comorbidity. Conclusions: The modest differences in observed healthcare utilization and spending suggest that older healthcare professionals may access care in fairly similar ways to the general population, and that health status may be a more important determinant of utilization and spending than health profession in older age groups.
机译：背景：为了更好地了解老人护士的卫生习惯与一般人群，我们试图确定护士卫生研究（NHS）参与Medicare和Medicare受益者的匹配样本的人口统计学，医疗利用和医疗费用。有意义的不同。材料和方法：分析队列包括随机20％的Medicare受益人样本，持续注册服务（FFS）Medicare，这些医疗保险费用在一年中连续注册的NHS参与者纳入NHS参与者（2012年）。匹配基于预选的人口因子和健康状态，使用最近邻居匹配算法在不替换的情况下获得1：1匹配。两组之间比较医疗利用和支出;我们还通过数量的慢性起来分层了。结果：初级保健和大多数门诊服务的应用率类似。然而，NHS参与者观察到癌症筛查，专业护理和住院手术略高。当通过合并状态分层时，在没有合并症的女性中发现了利用和支出的最大差异。结论：观察到的医疗保健利用率和支出的差异表明，老年医疗保健专业人员可以以相当类似的方式对一般人群进行护理，并且健康状况可能是更重要的决定因素，而不是老年人的卫生专业。

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