語系:
繁體中文
English
說明(常見問題)
回圖書館首頁
手機版館藏查詢
登入
回首頁
切換:
標籤
|
MARC模式
|
ISBD
Evaluation of the relationship betwe...
~
Lunacsek, Orsolya Eszter.
FindBook
Google Book
Amazon
博客來
Evaluation of the relationship between the loss of pharmacy benefits and disenrollment, nonpharmacy medical service utilization, and expenditures of individual enrollees in the Total Health 65 Medicare+Choice health plan.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Evaluation of the relationship between the loss of pharmacy benefits and disenrollment, nonpharmacy medical service utilization, and expenditures of individual enrollees in the Total Health 65 Medicare+Choice health plan./
作者:
Lunacsek, Orsolya Eszter.
面頁冊數:
183 p.
附註:
Source: Dissertation Abstracts International, Volume: 66-04, Section: B, page: 2002.
Contained By:
Dissertation Abstracts International66-04B.
標題:
Health Sciences, Pharmacy. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3170729
ISBN:
9780542068768
Evaluation of the relationship between the loss of pharmacy benefits and disenrollment, nonpharmacy medical service utilization, and expenditures of individual enrollees in the Total Health 65 Medicare+Choice health plan.
Lunacsek, Orsolya Eszter.
Evaluation of the relationship between the loss of pharmacy benefits and disenrollment, nonpharmacy medical service utilization, and expenditures of individual enrollees in the Total Health 65 Medicare+Choice health plan.
- 183 p.
Source: Dissertation Abstracts International, Volume: 66-04, Section: B, page: 2002.
Thesis (Ph.D.)--The University of Louisiana at Monroe, 2005.
The purpose of this research was to examine the relationship between the loss of pharmacy benefits and disenrollment, nonpharmacy medical service utilization, and medical care costs of enrollees in an M+C plan.
ISBN: 9780542068768Subjects--Topical Terms:
1017737
Health Sciences, Pharmacy.
Evaluation of the relationship between the loss of pharmacy benefits and disenrollment, nonpharmacy medical service utilization, and expenditures of individual enrollees in the Total Health 65 Medicare+Choice health plan.
LDR
:03629nmm 2200325 4500
001
1826539
005
20061227115650.5
008
130610s2005 eng d
020
$a
9780542068768
035
$a
(UnM)AAI3170729
035
$a
AAI3170729
040
$a
UnM
$c
UnM
100
1
$a
Lunacsek, Orsolya Eszter.
$3
1915502
245
1 0
$a
Evaluation of the relationship between the loss of pharmacy benefits and disenrollment, nonpharmacy medical service utilization, and expenditures of individual enrollees in the Total Health 65 Medicare+Choice health plan.
300
$a
183 p.
500
$a
Source: Dissertation Abstracts International, Volume: 66-04, Section: B, page: 2002.
500
$a
Major Professor: Sandra G. Blake.
502
$a
Thesis (Ph.D.)--The University of Louisiana at Monroe, 2005.
520
$a
The purpose of this research was to examine the relationship between the loss of pharmacy benefits and disenrollment, nonpharmacy medical service utilization, and medical care costs of enrollees in an M+C plan.
520
$a
The study used a retrospective pretest-posttest design with a nonequivalent comparison group. Disenrollment, nonpharmacy medical service utilization, and expenditures were studied prior to and following the discontinuation of pharmacy benefits in the intervention group. Changes in voluntary disenrollment rates from the pre to the postperiod were investigated among all plan members. Changes in emergency room visits, physician office visits, hospital discharges, and total expenditures were studied in a continuously enrolled group. Changes in medical expenditures were examined in the continuously enrolled group and several chronic disease subgroups.
520
$a
The change in voluntary disenrollment rates was statistically different between the intervention and control groups. The intervention group exhibited an increase in disenrollment after the discontinuation of pharmacy benefits. The changes in emergency room visits and physician office visits were also statistically different between the two groups. Emergency room visits increased at a higher rate and physician office visits increased at a lower rate when pharmacy benefits were lost. Neither hospital discharges nor medical expenditures exhibited statistically significant differences. Changes in total expenditures were significantly different between the two groups.
520
$a
The study concluded that the loss of pharmacy benefits was statistically associated with disenrollment, emergency room and physician office use, and total expenditures. The discontinuation of pharmacy benefits contributed to an increase in disenrollments. A substitution effect between emergency room visits and physician office visits was observed. Since many physician visits occur to obtain prescriptions, the lower rate of increase in physician office visits in the intervention group may have resulted from reduced access to prescription drugs. The simultaneous higher rate of increase in emergency room visits would have ensued from declining patient health in the absence of pharmacotherapies. Given that medical expenditures were not affected by the loss of pharmacy benefits, a plausible explanation for the decrease in total expenditures is the savings of pharmacy costs. The discontinuation of the pharmacy benefit did generate cost savings for the plan.
590
$a
School code: 1352.
650
4
$a
Health Sciences, Pharmacy.
$3
1017737
650
4
$a
Health Sciences, Health Care Management.
$3
1017922
650
4
$a
Health Sciences, Public Health.
$3
1017659
690
$a
0572
690
$a
0769
690
$a
0573
710
2 0
$a
The University of Louisiana at Monroe.
$3
1915503
773
0
$t
Dissertation Abstracts International
$g
66-04B.
790
1 0
$a
Blake, Sandra G.,
$e
advisor
790
$a
1352
791
$a
Ph.D.
792
$a
2005
856
4 0
$u
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3170729
筆 0 讀者評論
館藏地:
全部
電子資源
出版年:
卷號:
館藏
1 筆 • 頁數 1 •
1
條碼號
典藏地名稱
館藏流通類別
資料類型
索書號
使用類型
借閱狀態
預約狀態
備註欄
附件
W9217402
電子資源
11.線上閱覽_V
電子書
EB
一般使用(Normal)
在架
0
1 筆 • 頁數 1 •
1
多媒體
評論
新增評論
分享你的心得
Export
取書館
處理中
...
變更密碼
登入