東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

The relationship between utilization...

Yang, Zhou.

Linked to FindBook

Google Book

Amazon

博客來

The relationship between utilization of outpatient prescription drugs and inpatient care by Medicare beneficiaries.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The relationship between utilization of outpatient prescription drugs and inpatient care by Medicare beneficiaries./
Author:	Yang, Zhou.
Description:	96 p.
Notes:	Source: Dissertation Abstracts International, Volume: 64-11, Section: B, page: 5435.
Contained By:	Dissertation Abstracts International64-11B.
Subject:	Health Sciences, Health Care Management. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3112099
ISBN:	0496596292

The relationship between utilization of outpatient prescription drugs and inpatient care by Medicare beneficiaries.
Yang, Zhou.

The relationship between utilization of outpatient prescription drugs and inpatient care by Medicare beneficiaries. - 96 p.

Source: Dissertation Abstracts International, Volume: 64-11, Section: B, page: 5435.

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2003.

Medicare Prescription Drug Benefits are an important health policy issue in the United States today. The House and the Senate passed different versions of Medicare drug bills in June, 2003, and Congressional debates are continuing about the reimbursement and cost of possible drug benefits. This dissertation investigates how a Medicare Prescription Drug Benefit could affect the health status of elderly Medicare beneficiaries and their subsequent demand for Medicare Part A services. This study builds a dynamic theoretical framework to explain Medicare beneficiaries' health care behaviors and their demand for different types of medical care over time. The Cost and Use files of the Medicare Current Beneficiaries Survey 1992--1998 are used in this study. This data set is longitudinal data that tracks the timing of both outpatient prescription drug utilization and inpatient care utilization over years. This data is used to estimate a system of empirical equations, which is an approximation of the lifetime value function of optimal choices of medical care utilization in the theoretical model. Assuming that each Medicare beneficiary is given a prescription drug benefit at a typical Medicaid prescription drug benefit level, this study simulates the effect of the drug benefit using the estimated results from the empirical model. The simulation results show that a prescription drug benefit may stimulate demand for outpatient drugs, and might help decrease mortality and increase the longevity of Medicare beneficiaries. Over a short period, there could be offsets of Medicare Part A expenditures because of increased prescription drug utilization, but over a longer period up to five years, total Medicare Part A expenditures may increase because of more drug use due to the increased longevity and population size. The affects of a drug policy on health outcomes and subsequent inpatient care expenditures differ across subgroups in different age, income level and functional level. If the Medicare Prescription Drug Bill is passed, the demand for outpatient prescription drugs by Medicare beneficiaries may increase, very likely more money is needed to fund both the prescription drugs benefit and inpatient care benefit at the population level in the future.

ISBN: 0496596292Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

The relationship between utilization of outpatient prescription drugs and inpatient care by Medicare beneficiaries.
LDR:03225nmm 2200277 4500 001 1842901
005 20050928072450.5
008 130614s2003 eng d
020 $a 0496596292
035 $a (UnM)AAI3112099
035 $a AAI3112099
040 $a UnM $c UnM
100 1 $a Yang, Zhou. $3 1672526
245 1 4 $a The relationship between utilization of outpatient prescription drugs and inpatient care by Medicare beneficiaries.
300 $a 96 p.
500 $a Source: Dissertation Abstracts International, Volume: 64-11, Section: B, page: 5435.
500 $a Director: Edward C. Norton.
502 $a Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2003.
520 $a Medicare Prescription Drug Benefits are an important health policy issue in the United States today. The House and the Senate passed different versions of Medicare drug bills in June, 2003, and Congressional debates are continuing about the reimbursement and cost of possible drug benefits. This dissertation investigates how a Medicare Prescription Drug Benefit could affect the health status of elderly Medicare beneficiaries and their subsequent demand for Medicare Part A services. This study builds a dynamic theoretical framework to explain Medicare beneficiaries' health care behaviors and their demand for different types of medical care over time. The Cost and Use files of the Medicare Current Beneficiaries Survey 1992--1998 are used in this study. This data set is longitudinal data that tracks the timing of both outpatient prescription drug utilization and inpatient care utilization over years. This data is used to estimate a system of empirical equations, which is an approximation of the lifetime value function of optimal choices of medical care utilization in the theoretical model. Assuming that each Medicare beneficiary is given a prescription drug benefit at a typical Medicaid prescription drug benefit level, this study simulates the effect of the drug benefit using the estimated results from the empirical model. The simulation results show that a prescription drug benefit may stimulate demand for outpatient drugs, and might help decrease mortality and increase the longevity of Medicare beneficiaries. Over a short period, there could be offsets of Medicare Part A expenditures because of increased prescription drug utilization, but over a longer period up to five years, total Medicare Part A expenditures may increase because of more drug use due to the increased longevity and population size. The affects of a drug policy on health outcomes and subsequent inpatient care expenditures differ across subgroups in different age, income level and functional level. If the Medicare Prescription Drug Bill is passed, the demand for outpatient prescription drugs by Medicare beneficiaries may increase, very likely more money is needed to fund both the prescription drugs benefit and inpatient care benefit at the population level in the future.
590 $a School code: 0153.
650 4 $a Health Sciences, Health Care Management. $3 1017922
650 4 $a Health Sciences, Pharmacy. $3 1017737
690 $a 0769
690 $a 0572
710 2 0 $a The University of North Carolina at Chapel Hill. $3 1017449
773 0 $t Dissertation Abstracts International $g 64-11B.
790 1 0 $a Norton, Edward C., $e advisor
790 $a 0153
791 $a Ph.D.
792 $a 2003
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3112099