Public Health Spending and Medicare Resource Use: A Longitudinal Analysis of U.S. Communities.

ABSTRACT:

Objective

To examine whether local expenditures for public health activities influence area-level medical spending for Medicare beneficiaries.

Data sources and setting

Six census surveys of the nation's 2,900 local public health agencies were conducted between 1993 and 2013, linked with contemporaneous information on population demographics, socioeconomic characteristics, and area-level Medicare spending estimates from the Dartmouth Atlas of Health Care.

Data collection/extraction

Measures derive from agency survey data and aggregated Medicare claims.

Study design

A longitudinal cohort design follows the geographic areas served by local public health agencies. Multivariate, fixed-effects, and instrumental-variables regression models estimate how area-level Medi

SUBMITTER: Mays GP 

PROVIDER: S-EPMC5682130 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature