Sarah E Walsh, France Marie Weaver, Jennifer Chubinski
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引用次数: 0
摘要
对于参与部分由《美国老年人法案》资助的上门送餐计划(即 "车轮上的餐食")与老年医疗保险受益人使用医疗服务和居家养老能力之间的关系,人们知之甚少。利用 2013-20 年《全国健康与老龄化趋势研究》(National Health and Aging Trends Study)的数据,我们评估了使用 "送餐上门 "服务与两项结果之间的关系--对于年龄在 65 岁及以上的医疗保险受益人而言,继续在社区居住的可能性和次年住院的风险,包括总体情况以及性别、种族、医疗补助(Medicaid)加入情况和虚弱程度。总体而言,"车轮上的餐食 "用户和非用户一年后继续居住在社区的可能性相当;但是,黑人、加入了医疗补助计划或体弱的用户比非用户更有可能继续居住在社区。总体而言,计划的使用与次年住院可能性的增加略有关联,但在体弱的使用者中关联性更强。我们的研究结果与全国范围内医疗保险适龄 "车轮上的餐食 "用户的异质性一致,并表明该计划的益处因特定人群而异。
Meals On Wheels Clients: Measurable Differences In The Likelihood Of Aging In Place Or Being Hospitalized.
Little is known about how participation in home-delivered meal programs (known as Meals on Wheels), financed in part through the Older Americans Act, relates to the use of health services and the ability to age in place for elder Medicare beneficiaries. Using 2013-20 data from the National Health and Aging Trends Study, we evaluated the relationship between Meals on Wheels use and two outcomes-likelihood of continued community residence and risk for hospitalization-in the following year for Medicare beneficiaries ages sixty-five and older, overall and by gender, race, Medicaid enrollment, and frailty. Overall, Meals on Wheels users and nonusers were equally likely to still reside in the community one year later; however, continued community residence was more likely among users than nonusers who were Black, were enrolled in Medicaid, or were frail. Program use was marginally associated with increased likelihood of hospitalization in the following year overall, but more strongly so among frail users. Our findings are consistent with the heterogeneity of Medicare-age Meals on Wheels users nationwide and suggest that program benefits differ among specific populations.
期刊介绍:
Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.