Economic burden associated with Parkinson's disease on elderly Medicare beneficiaries
Identifieur interne : 000714 ( Istex/Corpus ); précédent : 000713; suivant : 000715Economic burden associated with Parkinson's disease on elderly Medicare beneficiaries
Auteurs : Katia Noyes ; Hangsheng Liu ; Yue Li ; Robert Holloway ; Andrew W. DickSource :
- Movement Disorders [ 0885-3185 ] ; 2006-03.
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- KwdEn :
Abstract
We evaluated medical utilization and economic burden of self‐reported Parkinson's disease (PD) on patients and society. Using the 1992–2000 Medicare Current Beneficiary Survey, we compared health care utilization and expenditures (in 2002 U.S. dollars) of Medicare subscribers with and without PD, adjusting for sociodemographic characteristics and comorbidities. PD patients used significantly more health care services of all categories and paid significantly more out of pocket for their medical services than other elderly (mean ± SE, $5,532 ± $329 vs. $2,187 ± $38; P < 0.001). After adjusting for other factors, PD patients had higher annual health care expenses than beneficiaries without PD ($18,528 vs. $10,818; P < 0.001). PD patients were more likely to use medical care (OR = 3.77; 95% CI = 1.44–9.88), in particular for long‐term care (OR = 3.80; 95% CI = 3.02–4.79) and home health care (OR = 2.08; 95% CI = 1.76–2.46). PD is associated with a significant economic burden to patients and society. Although more research is needed to understand the relationship between PD and medical expenditures and utilization, these findings have important implications for health care providers and payers that serve PD populations. © 2005 Movement Disorder Society
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DOI: 10.1002/mds.20727
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ISTEX:8813D93C69F320AC83EF3211DFC3E13FFED6CA6BLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Economic burden associated with Parkinson's disease on elderly Medicare beneficiaries</title><author><name sortKey="Noyes, Katia" sort="Noyes, Katia" uniqKey="Noyes K" first="Katia" last="Noyes">Katia Noyes</name><affiliation><mods:affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Liu, Hangsheng" sort="Liu, Hangsheng" uniqKey="Liu H" first="Hangsheng" last="Liu">Hangsheng Liu</name><affiliation><mods:affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Li, Yue" sort="Li, Yue" uniqKey="Li Y" first="Yue" last="Li">Yue Li</name><affiliation><mods:affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Holloway, Robert" sort="Holloway, Robert" uniqKey="Holloway R" first="Robert" last="Holloway">Robert Holloway</name><affiliation><mods:affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Neurology, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Dick, Andrew W" sort="Dick, Andrew W" uniqKey="Dick A" first="Andrew W." last="Dick">Andrew W. Dick</name><affiliation><mods:affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:8813D93C69F320AC83EF3211DFC3E13FFED6CA6B</idno><date when="2006" year="2006">2006</date><idno type="doi">10.1002/mds.20727</idno><idno type="url">https://api.istex.fr/document/8813D93C69F320AC83EF3211DFC3E13FFED6CA6B/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000714</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Economic burden associated with Parkinson's disease on elderly Medicare beneficiaries</title><author><name sortKey="Noyes, Katia" sort="Noyes, Katia" uniqKey="Noyes K" first="Katia" last="Noyes">Katia Noyes</name><affiliation><mods:affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Liu, Hangsheng" sort="Liu, Hangsheng" uniqKey="Liu H" first="Hangsheng" last="Liu">Hangsheng Liu</name><affiliation><mods:affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Li, Yue" sort="Li, Yue" uniqKey="Li Y" first="Yue" last="Li">Yue Li</name><affiliation><mods:affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Holloway, Robert" sort="Holloway, Robert" uniqKey="Holloway R" first="Robert" last="Holloway">Robert Holloway</name><affiliation><mods:affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Neurology, University of Rochester School of Medicine, Rochester, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Dick, Andrew W" sort="Dick, Andrew W" uniqKey="Dick A" first="Andrew W." last="Dick">Andrew W. 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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2006-03">2006-03</date><biblScope unit="vol">21</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="362">362</biblScope><biblScope unit="page" to="372">372</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">8813D93C69F320AC83EF3211DFC3E13FFED6CA6B</idno><idno type="DOI">10.1002/mds.20727</idno><idno type="ArticleID">MDS20727</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Medicaid</term><term>Medicare</term><term>expenditures</term><term>out of pocket</term><term>parkinsonism</term><term>utilization</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We evaluated medical utilization and economic burden of self‐reported Parkinson's disease (PD) on patients and society. Using the 1992–2000 Medicare Current Beneficiary Survey, we compared health care utilization and expenditures (in 2002 U.S. dollars) of Medicare subscribers with and without PD, adjusting for sociodemographic characteristics and comorbidities. PD patients used significantly more health care services of all categories and paid significantly more out of pocket for their medical services than other elderly (mean ± SE, $5,532 ± $329 vs. $2,187 ± $38; P < 0.001). After adjusting for other factors, PD patients had higher annual health care expenses than beneficiaries without PD ($18,528 vs. $10,818; P < 0.001). PD patients were more likely to use medical care (OR = 3.77; 95% CI = 1.44–9.88), in particular for long‐term care (OR = 3.80; 95% CI = 3.02–4.79) and home health care (OR = 2.08; 95% CI = 1.76–2.46). PD is associated with a significant economic burden to patients and society. Although more research is needed to understand the relationship between PD and medical expenditures and utilization, these findings have important implications for health care providers and payers that serve PD populations. © 2005 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Katia Noyes PhD, MPH</name><affiliations><json:string>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</json:string></affiliations></json:item><json:item><name>Hangsheng Liu MS</name><affiliations><json:string>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</json:string></affiliations></json:item><json:item><name>Yue Li MS</name><affiliations><json:string>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</json:string></affiliations></json:item><json:item><name>Robert Holloway MD, MPH</name><affiliations><json:string>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</json:string><json:string>Department of Neurology, University of Rochester School of Medicine, Rochester, New York, USA</json:string></affiliations></json:item><json:item><name>Andrew W. Dick PhD</name><affiliations><json:string>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>parkinsonism</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Medicare</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Medicaid</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>out of pocket</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>expenditures</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>utilization</value></json:item></subject><language><json:string>eng</json:string></language><abstract>We evaluated medical utilization and economic burden of self‐reported Parkinson's disease (PD) on patients and society. Using the 1992–2000 Medicare Current Beneficiary Survey, we compared health care utilization and expenditures (in 2002 U.S. dollars) of Medicare subscribers with and without PD, adjusting for sociodemographic characteristics and comorbidities. PD patients used significantly more health care services of all categories and paid significantly more out of pocket for their medical services than other elderly (mean ± SE, $5,532 ± $329 vs. $2,187 ± $38; P > 0.001). After adjusting for other factors, PD patients had higher annual health care expenses than beneficiaries without PD ($18,528 vs. $10,818; P > 0.001). PD patients were more likely to use medical care (OR = 3.77; 95% CI = 1.44–9.88), in particular for long‐term care (OR = 3.80; 95% CI = 3.02–4.79) and home health care (OR = 2.08; 95% CI = 1.76–2.46). PD is associated with a significant economic burden to patients and society. 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Disord.</title><idno type="pISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><idno type="DOI">10.1002/(ISSN)1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2006-03"></date><biblScope unit="vol">21</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="362">362</biblScope><biblScope unit="page" to="372">372</biblScope></imprint></monogr><idno type="istex">8813D93C69F320AC83EF3211DFC3E13FFED6CA6B</idno><idno type="DOI">10.1002/mds.20727</idno><idno type="ArticleID">MDS20727</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2006</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>We evaluated medical utilization and economic burden of self‐reported Parkinson's disease (PD) on patients and society. Using the 1992–2000 Medicare Current Beneficiary Survey, we compared health care utilization and expenditures (in 2002 U.S. dollars) of Medicare subscribers with and without PD, adjusting for sociodemographic characteristics and comorbidities. PD patients used significantly more health care services of all categories and paid significantly more out of pocket for their medical services than other elderly (mean ± SE, $5,532 ± $329 vs. $2,187 ± $38; P < 0.001). After adjusting for other factors, PD patients had higher annual health care expenses than beneficiaries without PD ($18,528 vs. $10,818; P < 0.001). PD patients were more likely to use medical care (OR = 3.77; 95% CI = 1.44–9.88), in particular for long‐term care (OR = 3.80; 95% CI = 3.02–4.79) and home health care (OR = 2.08; 95% CI = 1.76–2.46). PD is associated with a significant economic burden to patients and society. Although more research is needed to understand the relationship between PD and medical expenditures and utilization, these findings have important implications for health care providers and payers that serve PD populations. © 2005 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>parkinsonism</term></item><item><term>Medicare</term></item><item><term>Medicaid</term></item><item><term>out of pocket</term></item><item><term>expenditures</term></item><item><term>utilization</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Article category</head><item><term>Research Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2005-03-08">Received</change><change when="2005-07-11">Registration</change><change when="2006-03">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/8813D93C69F320AC83EF3211DFC3E13FFED6CA6B/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="short">Mov. 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Using the 1992–2000 Medicare Current Beneficiary Survey, we compared health care utilization and expenditures (in 2002 U.S. dollars) of Medicare subscribers with and without PD, adjusting for sociodemographic characteristics and comorbidities. PD patients used significantly more health care services of all categories and paid significantly more out of pocket for their medical services than other elderly (mean ± SE, $5,532 ± $329 vs. $2,187 ± $38; <i>P</i> < 0.001). After adjusting for other factors, PD patients had higher annual health care expenses than beneficiaries without PD ($18,528 vs. $10,818; <i>P</i> < 0.001). PD patients were more likely to use medical care (OR = 3.77; 95% CI = 1.44–9.88), in particular for long‐term care (OR = 3.80; 95% CI = 3.02–4.79) and home health care (OR = 2.08; 95% CI = 1.76–2.46). PD is associated with a significant economic burden to patients and society. Although more research is needed to understand the relationship between PD and medical expenditures and utilization, these findings have important implications for health care providers and payers that serve PD populations. © 2005 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Economic burden associated with Parkinson's disease on elderly Medicare beneficiaries</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Economic Burden of Parkinson's Disease</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Economic burden associated with Parkinson's disease on elderly Medicare beneficiaries</title></titleInfo><name type="personal"><namePart type="given">Katia</namePart><namePart type="family">Noyes</namePart><namePart type="termsOfAddress">PhD, MPH</namePart><affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</affiliation><description>Correspondence: Department of Community and Preventive Medicine, University of Rochester, 601 Elmwood Avenue, Box 644, Rochester, NY 14620</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hangsheng</namePart><namePart type="family">Liu</namePart><namePart type="termsOfAddress">MS</namePart><affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Yue</namePart><namePart type="family">Li</namePart><namePart type="termsOfAddress">MS</namePart><affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Robert</namePart><namePart type="family">Holloway</namePart><namePart type="termsOfAddress">MD, MPH</namePart><affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</affiliation><affiliation>Department of Neurology, University of Rochester School of Medicine, Rochester, New York, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Andrew W.</namePart><namePart type="family">Dick</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2006-03</dateIssued><dateCaptured encoding="w3cdtf">2005-03-08</dateCaptured><dateValid encoding="w3cdtf">2005-07-11</dateValid><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">6</extent><extent unit="references">37</extent><extent unit="words">7769</extent></physicalDescription><abstract lang="en">We evaluated medical utilization and economic burden of self‐reported Parkinson's disease (PD) on patients and society. Using the 1992–2000 Medicare Current Beneficiary Survey, we compared health care utilization and expenditures (in 2002 U.S. dollars) of Medicare subscribers with and without PD, adjusting for sociodemographic characteristics and comorbidities. PD patients used significantly more health care services of all categories and paid significantly more out of pocket for their medical services than other elderly (mean ± SE, $5,532 ± $329 vs. $2,187 ± $38; P < 0.001). After adjusting for other factors, PD patients had higher annual health care expenses than beneficiaries without PD ($18,528 vs. $10,818; P < 0.001). PD patients were more likely to use medical care (OR = 3.77; 95% CI = 1.44–9.88), in particular for long‐term care (OR = 3.80; 95% CI = 3.02–4.79) and home health care (OR = 2.08; 95% CI = 1.76–2.46). PD is associated with a significant economic burden to patients and society. Although more research is needed to understand the relationship between PD and medical expenditures and utilization, these findings have important implications for health care providers and payers that serve PD populations. © 2005 Movement Disorder Society</abstract><note type="funding">National Institute of Aging - No. K01 AG 20980; </note><note type="funding">National Institute of Neurological Disorders and Stroke - No. K24 NS4 2098; </note><subject lang="en"><genre>Keywords</genre><topic>parkinsonism</topic><topic>Medicare</topic><topic>Medicaid</topic><topic>out of pocket</topic><topic>expenditures</topic><topic>utilization</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><subject><genre>article category</genre><topic>Research Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2006</date><detail type="volume"><caption>vol.</caption><number>21</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>362</start><end>372</end><total>11</total></extent></part></relatedItem><identifier type="istex">8813D93C69F320AC83EF3211DFC3E13FFED6CA6B</identifier><identifier type="DOI">10.1002/mds.20727</identifier><identifier type="ArticleID">MDS20727</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2005 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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