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APHA Scientific Session and Event Listing

Katherine Anderson, MS, Department of Graduate Health Sciences, University of Tennnesee, College of Pharmacy, 847 Monroe Avenue, Suite 205 M, Memphis, TN 38163, 901-448-1765, katgumby@yahoo.com

Purpose: The purpose of this study was to determine the cost of nursing home care for patients with Parkinson's disease using retrospective database analysis of the Medical Expenditures Panel Survey Nursing Home Component (MEPS-NHC). Methods: The Medical Expenditures Panel Survey Nursing Home Component (MEPS-NHC) was used to estimate the cost of nursing home care for patients with Parkinson's disease. In order to analyze the MEPS-NHC data it was necessary to link multiple files together to create one file for analysis. The person level files (NHC001P, NHC-002, and NHC-007) were merged using the original person identification number (ORIGPERSID) and this resulted in the creation of one person level file. The facility level files (NHC-001F and NHC-003) were merged using the sample facility identification number (SFID) and this resulted in one facility level file. The SFID appeared in NHC-002 of the person level files and was used as the common variable to merge the single person level file and facility level files that were created into one final merged file. Results: Using assigned patient weights, the 208 patients in the MEPS-NHC represented 99,989 Parkinson's patients in nursing home facilities in the United States. The weighted total for nursing home costs for patients with Parkinson's disease in 1996 was $3.2 billion. The weighted total nursing home cost for males in 1996 was $1.14 billion and $2.08 billion for females. Conclusions: The estimate presented here highlights the need for future studies that identify the cost of nursing home care for other chronic disease states.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

• Describe nursing home costs for patients with Parkinson's disease
• Identify demographic differences in nursing home costs for patients with Parkinson's disease
• Discuss future implications of increased life expectancy and the cost of nursing home care for patients with Parkinson's disease

Keywords: Nursing Homes, Cost Issues

Awards: Retirement Research Foundation Doctoral Student Award - Honorable Mention

Presenting author's disclosure statement:

Not Answered

Handout (.ppt format, 73.5 kb)