Parkinson’s Disease and Home Healthcare Use and Expenditures among Elderly Medicare Beneficiaries
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 co...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2015/606810 |
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| _version_ | 1832548038769377280 |
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| author | Sandipan Bhattacharjee Aaron Metzger Cindy Tworek Wenhui Wei Xiaoyun Pan Usha Sambamoorthi |
| author_facet | Sandipan Bhattacharjee Aaron Metzger Cindy Tworek Wenhui Wei Xiaoyun Pan Usha Sambamoorthi |
| author_sort | Sandipan Bhattacharjee |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-24bd4283521b4812bd80ccdd39451a16 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-24bd4283521b4812bd80ccdd39451a162025-02-03T06:42:17ZengWileyParkinson's Disease2090-80832042-00802015-01-01201510.1155/2015/606810606810Parkinson’s Disease and Home Healthcare Use and Expenditures among Elderly Medicare BeneficiariesSandipan Bhattacharjee0Aaron Metzger1Cindy Tworek2Wenhui Wei3Xiaoyun Pan4Usha Sambamoorthi5Department of Pharmacy Practice and Science, School of Pharmacy, The University of Arizona, Tucson, AZ 85721, USADepartment of Life-Span Developmental Psychology, West Virginia University, Morgantown, WV 26506, USADepartment of Pharmaceutical Systems & Policy, School of Pharmacy, West Virginia University, Morgantown, WV 26506, USASanofi US, Bridgewater, NJ 08807, USAEvidera, Lexington, MA 02420, USADepartment of Pharmaceutical Systems & Policy, School of Pharmacy, West Virginia University, Morgantown, WV 26506, USAThis 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.http://dx.doi.org/10.1155/2015/606810 |
| spellingShingle | Sandipan Bhattacharjee Aaron Metzger Cindy Tworek Wenhui Wei Xiaoyun Pan Usha Sambamoorthi Parkinson’s Disease and Home Healthcare Use and Expenditures among Elderly Medicare Beneficiaries Parkinson's Disease |
| title | Parkinson’s Disease and Home Healthcare Use and Expenditures among Elderly Medicare Beneficiaries |
| title_full | Parkinson’s Disease and Home Healthcare Use and Expenditures among Elderly Medicare Beneficiaries |
| title_fullStr | Parkinson’s Disease and Home Healthcare Use and Expenditures among Elderly Medicare Beneficiaries |
| title_full_unstemmed | Parkinson’s Disease and Home Healthcare Use and Expenditures among Elderly Medicare Beneficiaries |
| title_short | Parkinson’s Disease and Home Healthcare Use and Expenditures among Elderly Medicare Beneficiaries |
| title_sort | parkinson s disease and home healthcare use and expenditures among elderly medicare beneficiaries |
| url | http://dx.doi.org/10.1155/2015/606810 |
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