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Medicare Utilization and Spending Among Nurses Compared with the General United States Population.
- Source :
-
Journal of women's health (2002) [J Womens Health (Larchmt)] 2018 Dec; Vol. 27 (12), pp. 1466-1473. Date of Electronic Publication: 2018 Aug 17. - Publication Year :
- 2018
-
Abstract
- 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.
- Subjects :
- Aged
Female
Humans
Ambulatory Care economics
Ambulatory Care statistics & numerical data
Geriatric Assessment methods
Hospitalization economics
Hospitalization statistics & numerical data
Incidence
Insurance Claim Review
Primary Health Care economics
Primary Health Care statistics & numerical data
Reference Values
Risk Assessment
United States
Health Services for the Aged economics
Health Services for the Aged statistics & numerical data
Medicare economics
Medicare statistics & numerical data
Nurses statistics & numerical data
Patient Acceptance of Health Care statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1931-843X
- Volume :
- 27
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Journal of women's health (2002)
- Publication Type :
- Academic Journal
- Accession number :
- 30118370
- Full Text :
- https://doi.org/10.1089/jwh.2017.6802