Economic burden associated with Parkinson's disease on elderly Medicare beneficiaries.
Identifieur interne : 001494 ( Ncbi/Checkpoint ); précédent : 001493; suivant : 001495Economic burden associated with Parkinson's disease on elderly Medicare beneficiaries.
Auteurs : Katia Noyes [États-Unis] ; Hangsheng Liu ; Yue Li ; Robert Holloway ; Andrew W. DickSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2006.
Descripteurs français
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Activities of Daily Living, Aged, Cost of Illness, Demography, Female, Health Expenditures (statistics & numerical data), Health Services (economics), Health Services (utilization), Humans, Male, Medicaid (economics), Medicaid (utilization), Medicare (economics), Medicare (utilization), Middle Aged, Parkinson Disease (economics), Parkinson Disease (epidemiology), Parkinson Disease (therapy), Prevalence, Questionnaires, Socioeconomic Factors, United States.
- MESH :
- geographic : United States.
- economics : Health Services, Medicaid, Medicare, Parkinson Disease.
- epidemiology : Parkinson Disease.
- statistics & numerical data : Health Expenditures.
- therapy : Parkinson Disease.
- utilization : Health Services, Medicaid, Medicare.
- Activities of Daily Living, Aged, Cost of Illness, Demography, Female, Humans, Male, Middle Aged, Prevalence, Questionnaires, Socioeconomic Factors.
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 dollars+/- 329 dollars vs. 2,187 dollars+/- 38 dollars; P<0.001). After adjusting for other factors, PD patients had higher annual health care expenses than beneficiaries without PD (18,528 dollars vs. 10,818 dollars; 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.
DOI: 10.1002/mds.20727
PubMed: 16211621
Affiliations:
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pubmed:16211621Le document en format XML
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Dick</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="doi">10.1002/mds.20727</idno><idno type="RBID">pubmed:16211621</idno><idno type="pmid">16211621</idno><idno type="wicri:Area/PubMed/Corpus">002E34</idno><idno type="wicri:Area/PubMed/Curation">002E34</idno><idno type="wicri:Area/PubMed/Checkpoint">002D60</idno><idno type="wicri:Area/Ncbi/Merge">001494</idno><idno type="wicri:Area/Ncbi/Curation">001494</idno><idno type="wicri:Area/Ncbi/Checkpoint">001494</idno></publicationStmt><sourceDesc><biblStruct><analytic><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 wicri:level="2"><nlm:affiliation>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, NY 14620, USA. katia_noyes@urmc.rochester.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, New York, NY 14620</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Liu, Hangsheng" sort="Liu, Hangsheng" uniqKey="Liu H" first="Hangsheng" last="Liu">Hangsheng Liu</name></author><author><name sortKey="Li, Yue" sort="Li, Yue" uniqKey="Li Y" first="Yue" last="Li">Yue Li</name></author><author><name sortKey="Holloway, Robert" sort="Holloway, Robert" uniqKey="Holloway R" first="Robert" last="Holloway">Robert Holloway</name></author><author><name sortKey="Dick, Andrew W" sort="Dick, Andrew W" uniqKey="Dick A" first="Andrew W" last="Dick">Andrew W. Dick</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Aged</term><term>Cost of Illness</term><term>Demography</term><term>Female</term><term>Health Expenditures (statistics & numerical data)</term><term>Health Services (economics)</term><term>Health Services (utilization)</term><term>Humans</term><term>Male</term><term>Medicaid (economics)</term><term>Medicaid (utilization)</term><term>Medicare (economics)</term><term>Medicare (utilization)</term><term>Middle Aged</term><term>Parkinson Disease (economics)</term><term>Parkinson Disease (epidemiology)</term><term>Parkinson Disease (therapy)</term><term>Prevalence</term><term>Questionnaires</term><term>Socioeconomic Factors</term><term>United States</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Health Services</term><term>Medicaid</term><term>Medicare</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Expenditures</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Health Services</term><term>Medicaid</term><term>Medicare</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Aged</term><term>Cost of Illness</term><term>Demography</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Questionnaires</term><term>Socioeconomic Factors</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></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 dollars+/- 329 dollars vs. 2,187 dollars+/- 38 dollars; P<0.001). After adjusting for other factors, PD patients had higher annual health care expenses than beneficiaries without PD (18,528 dollars vs. 10,818 dollars; 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.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><noCountry><name sortKey="Dick, Andrew W" sort="Dick, Andrew W" uniqKey="Dick A" first="Andrew W" last="Dick">Andrew W. Dick</name><name sortKey="Holloway, Robert" sort="Holloway, Robert" uniqKey="Holloway R" first="Robert" last="Holloway">Robert Holloway</name><name sortKey="Li, Yue" sort="Li, Yue" uniqKey="Li Y" first="Yue" last="Li">Yue Li</name><name sortKey="Liu, Hangsheng" sort="Liu, Hangsheng" uniqKey="Liu H" first="Hangsheng" last="Liu">Hangsheng Liu</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Noyes, Katia" sort="Noyes, Katia" uniqKey="Noyes K" first="Katia" last="Noyes">Katia Noyes</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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