Social Determinants of Health and Geographic Variation in Medicare per Beneficiary Spending.

ABSTRACT:

Importance

Despite substantial geographic variation in Medicare per beneficiary spending in the US, little is known about the extent to which social determinants of health (SDoH) are associated with this variation.

Objective

To determine the associations between SDoH and county-level price-adjusted Medicare per beneficiary spending.

Design, setting, and participants

This cross-sectional study used county-level data on 2017 Medicare fee-for-service (FFS) spending, patient demographic characteristics (eg, age and gender) and clinical risk score, supply of health care resources (eg, number of hospital beds), and SDoH measures (eg, median income and unemployment rate) from multiple sources. Multivariable regressions were used to estimate the association of the variation i

SUBMITTER: Zhang Y 

PROVIDER: S-EPMC8193453 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature