Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

01-09-2007 | Original Paper | Uitgave 7/2007

Quality of Life Research 7/2007

Change in health status and mortality as indicators of outcomes: comparison between the Medicare Advantage Program and the Veterans Health Administration

Tijdschrift:
Quality of Life Research > Uitgave 7/2007
Auteurs:
Alfredo J. Selim, Lewis E. Kazis, William Rogers, Shirley X. Qian, James A. Rothendler, Avron Spiro III, Xinhua S. Ren, Donald Miller, Bernardo J. Selim, Benjamin G. Fincke
Belangrijke opmerkingen
SF-36® is a registered trademark of the Medical Outcomes Trust

Abstract

Background

Comparing health outcomes with adequate methodology is central to performance assessments of health care systems. We compared the Medicare Advantage Program (MAP) and the Veterans Health Administration (VHA) with regard to changes in health status and mortality.

Methods

We used the Death-Master-File for vital status and the Short-Form 36 to determine physical (PCS) and mental (MCS) health at baseline and at 2 years. We compared the probability of being alive with the same or better (than would be expected by chance) PCS (or MCS) at 2 years and mortality, while adjusting for case-mix. Given the geographic variations in MAP enrollment, we did a regional sub-analysis.

Results

There were no significant differences in the probability of being alive with the same or better PCS except for the South (VHA 65.8% vs. MAP 62.5%, P = .0014). VHA patients had a slightly higher probability than MAP patients of being alive with the same or better MCS (71.8% vs. 70.1%, P = .002) but no significant regional variations. The hazard ratios for mortality in the MAP were higher than in the VHA across all regions.

Conclusion

With the use of appropriate methodology, we found small differences in 2-year health outcomes that favor the VHA.

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Podotherapeut Totaal

Binnen de bundel kunt u gebruik maken van boeken, tijdschriften, e-learnings, web-tv's en uitlegvideo's. BSL Podotherapeut Totaal is overal toegankelijk; via uw PC, tablet of smartphone.

Literatuur
Over dit artikel

Andere artikelen Uitgave 7/2007

Quality of Life Research 7/2007 Naar de uitgave