Universal Health Insurance and the Adequacy and Efficiency of Health Care

全民健康保险与医疗保健的充分性和效率

基本信息

批准号：
8721277
负责人：
DAVID E. CARD
金额：
$ 37.18万
依托单位：
NATIONAL BUREAU OF ECONOMIC RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-06-15 至 2018-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8721277
关键词：
Accident and Emergency department Acute myocardial infarction Address Affect Age Asthma Attention Cardiac Surgery procedures Caring Chronic Cost Savings Costs and Benefits Death Rate Diabetes Mellitus Dimensions Elderly Eligibility Determination Grant Health Health Care Reform Health Insurance Health Services Health Services Accessibility Healthcare Healthcare Systems Heart failure Hospitalization Hospitals Incidence Individual Insurance Insurance Coverage Lead Learning Measures Mediating Medicare Monitor Myocardial Infarction Outcome Patients Pneumonia Policies Population Primary Health Care Procedures Relative (related person)Research Role Services Side Staging System Uninsured Visit cost health care delivery health care service utilization hip replacement arthroplasty improved insight knee replacement arthroplasty mortality racial and ethnic disparities

项目摘要

DESCRIPTION (provided by applicant): Universal Health Insurance and the Adequacy and Efficiency of Health Care This project will use comparisons between people just under and just over age 65 to measure how the availability of nearly universal health insurance for those over 65 affects the use of primary care versus Emergency Department services; the quality of health care services provided outside the hospital, and the treatment intensity and health outcomes of people admitted to the hospital for acute myocardial infarction. The results from this project will be directly policy-relevant as they will help to quantify the effects of insurance coverage (or lack of coverage) on the efficiency and efficacy of the health care delivery system for older adults. They will also provide valuable information for evaluating the costs of extending health insurance coverage to previously uncovered individuals. The findings will also provide new insights into the disparities in treatment of acute myocardial infarction patients across different patient groups, and how these disparities affect the health of these groups.

描述（由申请人提供）：全民健康保险和医疗保健的充分性和效率该项目将使用 65 岁以下和略高于 65 岁的人群进行比较，以衡量 65 岁以上人群获得近乎全民健康保险的情况如何影响医疗保健的使用初级保健与急诊科服务；医院外提供的医疗保健服务的质量，以及因急性心肌梗塞入院的患者的治疗强度和健康结果。该项目的结果将直接与政策相关，因为它们将有助于量化保险覆盖范围（或缺乏覆盖范围）对老年人医疗保健提供系统的效率和功效的影响。他们还将提供有价值的信息，用于评估将健康保险覆盖范围扩大到以前未覆盖的个人的成本。这些发现还将为不同患者群体中急性心肌梗死患者治疗的差异以及这些差异如何影响这些群体的健康提供新的见解。