Skip navigation
Logo
User training | Reference and search service

Library catalog

Retrievo
EDS
b-on
More
resources
Content aggregators
Please use this identifier to cite or link to this item:

acessibilidade

http://hdl.handle.net/10071/15842
acessibilidade
Title: Spatial heterogeneity of quality, use and spending on medicare for the Elderly
Authors: de Mello-Sampayo, F.
Keywords: Medicare
Quality
Elderly
Geographically weighted regression
Spatial econometric models
USA.
Issue Date: 2018
Publisher: PAGEPress
Abstract: The spatial variation of the relations between Medicare spending (MS), use and quality in the United States was investigated employing spatial regression. A focus of the study was whether, and to what extent, MS and use vary by service type. Employing different spatial regression designs based on Medicare regional data, the impact of the heterogeneous spatial effects of hospital readmissions on MS for the elderly at the aggregate level was examined. The results were followed up by investigation whether the effects of hospital readmissions are heterogeneous with regard to service type. It was found that poor quality indicators lead to increased MS at the aggregate level and thus higher costs per beneficiary, and that the quality effects are heterogeneous with variable impacts, both spatially and by type of medical service. The results shed new light on the relationship between quality and MS highlighting the pitfalls of global averaging models that hide the reality of a highly diversified and spatially stratified country. Reducing payments to high-spending areas and increasing payments to low-spending areas should reduce spending variability but the quality indicators of care become ambiguous and not easy to interpret.
Peer reviewed: yes
URI: http://hdl.handle.net/10071/15842
DOI: 10.4081/gh.2018.655
ISSN: 1827-1987
Ciência-IUL: https://ciencia.iscte-iul.pt/id/ci-pub-48514
Accession number: WOS:000442360600009
Appears in Collections:DE-RI - Artigos em revistas internacionais com arbitragem científica

Files in This Item:
acessibilidade
File Description SizeFormat 
geospatial.pdfVersão Editora1.46 MBAdobe PDFView/Open


FacebookTwitterDeliciousLinkedInDiggGoogle BookmarksMySpace
Formato BibTex MendeleyEndnote Currículo DeGóis 

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.