We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Parkinson’s Disease and Home Healthcare Use and Expenditures among Elderly Medicare Beneficiaries.
- Authors
Bhattacharjee, Sandipan; Metzger, Aaron; Tworek, Cindy; Wei, Wenhui; Pan, Xiaoyun; Sambamoorthi, Usha
- Abstract
This study estimated excess home healthcare use and expenditures among elderly Medicare beneficiaries (age ≥ 65 years) with Parkinson’s disease (PD) compared to those without PD and analyzed the extent to which predisposing, enabling, need factors, personal health choice, and external environment contribute to the excess home healthcare use and expenditures among individuals with PD. A retrospective, observational, cohort study design using Medicare 5% sample claims for years 2006-2007 was used for this study. Logistic regressions and Ordinary Least Squares regressions were used to assess the association of PD with home health use and expenditures, respectively. Postregression nonlinear and linear decomposition techniques were used to understand the extent to which differences in home healthcare use and expenditures among elderly Medicare beneficiaries with and without PD can be explained by individual-level factors. Elderly Medicare beneficiaries with PD had higher home health use and expenditures compared to those without PD. 27.5% and 18% of the gap in home health use and expenditures, respectively, were explained by differences in characteristics between the PD and no PD groups. A large portion of the differences in home healthcare use and expenditures remained unexplained.
- Subjects
ARIZONA; HOME care services; PARKINSON'S disease; ACADEMIC medical centers; CONFIDENCE intervals; MEDICARE; RESEARCH funding; T-test (Statistics); LOGISTIC regression analysis; RETROSPECTIVE studies; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio; OLD age; ECONOMICS
- Publication
Parkinson's Disease (20420080), 2015, Vol 2015, p1
- ISSN
2090-8083
- Publication type
Article
- DOI
10.1155/2015/606810