Economic burden associated with Parkinson's disease on elderly medicare beneficiaries
Identifieur interne : 001C00 ( PascalFrancis/Corpus ); précédent : 001B99; suivant : 001C01Economic 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.
Descripteurs français
- Pascal (Inist)
English descriptors
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% Cl = 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.
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Pour connaître la documentation sur le format Inist Standard.
pA |
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Format Inist (serveur)
NO : | PASCAL 06-0208444 INIST |
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ET : | Economic burden associated with Parkinson's disease on elderly medicare beneficiaries |
AU : | NOYES (Katia); HANGSHENG LIU; YUE LI; HOLLOWAY (Robert); DICK (Andrew W.) |
AF : | Department of Community and Preventive Medicine, University of Rochester School of Medicine/Rochester, New York/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.); Department of Neurology, University of Rochester School of Medicine/Rochester, New York/Etats-Unis (4 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. 3; Pp. 362-372; Bibl. 37 ref. |
LA : | Anglais |
EA : | 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% Cl = 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. |
CC : | 002B17; 002B17G; 002B17A03 |
FD : | Système nerveux pathologie; Parkinson maladie; Parkinsonisme; Personne âgée |
FG : | Homme; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie |
ED : | Nervous system diseases; Parkinson disease; Parkinsonism; Elderly |
EG : | Human; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease |
SD : | Sistema nervioso patología; Parkinson enfermedad; Parkinson síndrome; Anciano |
LO : | INIST-20953.354000142800450120 |
ID : | 06-0208444 |
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Pascal:06-0208444Le document en format XML
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<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% Cl = 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>
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<ET>Economic burden associated with Parkinson's disease on elderly medicare beneficiaries</ET>
<AU>NOYES (Katia); HANGSHENG LIU; YUE LI; HOLLOWAY (Robert); DICK (Andrew W.)</AU>
<AF>Department of Community and Preventive Medicine, University of Rochester School of Medicine/Rochester, New York/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.); Department of Neurology, University of Rochester School of Medicine/Rochester, New York/Etats-Unis (4 aut.)</AF>
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<EA>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% Cl = 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.</EA>
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