等待的代价:医疗保险启动与医疗保健利用

AFFORDING TO WAIT: MEDICARE INITIATION AND THE USE OF HEALTH CARE

Health Economics · 2011
被引 12
人大 A-

中文导读

研究了65岁加入联邦医疗保险对医疗程序使用的影响,发现低紧急程度且可报销的程序使用在65岁时显著增加,尤其是筛查和轻微症状治疗。

Abstract

Delays in receipt of necessary diagnostic and therapeutic medical procedures related to the timing of Medicare initiation at age 65 years have potentially broad welfare implications. We use 2005-2007 data from Florida and North Carolina to estimate the effect of initiation of Medicare benefits on healthcare utilization across procedures that differ in urgency and coverage. In particular, we study trends in the use of elective procedures covered by Medicare to treat conditions that vary in symptoms; these are compared with elective surgical procedures not eligible for Medicare reimbursement, and to a set of urgent and emergent procedures. We find large discontinuities in health services utilization at age 65 years concentrated among low-urgency, Medicare-reimbursable procedures, most pronounced among screening interventions and treatments for minimally symptomatic disease.

Medicare启动医疗利用择期手术筛查干预