THE UTILIZATION OF PNEUMOCOCCAL POLYSACCHARIDE VACCINE AMONG ELDERLY MEDICARE BENEFICIARIES, 1985 THROUGH 1988

被引:28
作者
MCBEAN, AM [1 ]
BABISH, JD [1 ]
PRIHODA, R [1 ]
机构
[1] HLTH CARE FINANCING ADM,BUR DATA MANAGEMENT STRATEGIES,BALTIMORE,MD
关键词
D O I
10.1001/archinte.151.10.2009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Since July 1981, Medicare has paid for the administration of pneumococcal vaccine without regard to the deductible limit and without copayment. Claims submitted to Medicare for reimbursement for the 4-year period from 1985 through 1988 for a 5% sample of elderly Medicare beneficiaries enrolled in part B who were not members of health maintenance organizations were analyzed. Vaccine was administered to an estimated 1 392 840 beneficiaries (5.34%). The total estimated cost to Medicare was $14.3 million, or approximately $10.27 per dose. Crude 4-year rates indicated that white persons were much more likely to be immunized than black persons (5.60% vs 2.94%). Persons 70 through 84 years of age had higher immunization rates than either younger or older beneficiaries. The number of immunizations given peaked in 1986 and declined thereafter. A variety of vaccination strategies that may raise the immunization level in the elderly have been developed. The broad implementation of successful strategies will be important if the goal of a 60% immunization level in the elderly by the year 2000 is to be reached.
引用
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页码:2009 / 2016
页数:8
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