检查各州在医疗补助长期服务和老年人支持方面的支出差异。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-01-01 DOI:10.1080/01621424.2021.2004286

George Mellgard, Claire Ankuda, Omari-Khalid Rahman, Amy Kelley

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引用次数: 0

摘要

州医疗补助计划是长期服务和支持(LTSS)的最大资金来源。我们描述了65岁以上个体LTSS平均支出的四分位数，并使用健康与退休研究来检查这些四分位数的人口统计、功能和护理特征。在LTSS上医疗补助支出较低的州，个人报告了更多的家庭和朋友照顾时间，并且更有可能来自种族和少数民族群体。需要继续改进医疗补助长期保障政策，以更好地支持弱势群体，特别是在低四分位数州。

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Examining variation in state spending on medicaid long-term services and supports for older adults.

State Medicaid programs are the largest source of funding for long-term services and supports (LTSS). We characterized states across quartiles of mean LTSS spending for individuals ≥65 and used the Health and Retirement Study to examine the demographic, functional, and caregiving characteristics across these quartiles. Individuals in states with lower Medicaid spending on LTSS reported more family and friend caregiving hours and were more likely to be from racial and ethnic minority groups. Continued work is needed to improve Medicaid LTSS policy to better support vulnerable populations, particularly in lower quartile states.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.