The pulmonary rehabilitation utilization rate among older people with chronic obstructive pulmonary disease in Japan: A retrospective study using medical and long-term care insurance claims data

Background: The emergency use authorization for coronavirus disease 2019 (COVID-19) vaccines brought both hopes and concerns to the Americans and others. We aimed to estimate the mortality rate of COVID-19 vaccination and presented characteristics of deaths following COVID-19 vaccination.Methods: Data on deaths following COVID-19 vaccination were obtained from the Vaccine Adverse Event Reporting System (VAERS) from December 11, 2020 through January 8, 2021. The Centers for Disease Control and Prevention (CDC) COVID Data Tracker was used to identify the total number of people receiving COVID-19 vaccines during the same period to estimate the mortality rate. Stratified analysis was conducted by the location of vaccination.Results: As of January 8, 2021, 55 deaths were reported, and the mortality rate of COVID-19 vaccination was 8.2 per million population. A total of 37 deaths were reported among long-term care facility residents, and the mortality rate was 53.4 per million population. Top reported comorbidities associated with deaths included hypertension, dementia, chronic obstructive pulmonary disease (COPD), diabetes, and heart failure. In addition, dementia was more likely to be associated with deaths vaccinated at long-term care facilities than at other locations.Conclusion: The benefits of COVID-19 vaccines outweigh the potential risks in older frail populations, and our findings do not support actions to exclude older adults from being vaccinated. However, continued monitoring of COVID-19 vaccination is still warranted.

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Excess costs of dementia disorders and the role of age and gender - an analysis of German health and long-term care insurance claims data

BMC Health Services Research ◽

10.1186/1472-6963-12-165 ◽

2012 ◽

Vol 12 (1) ◽

Cited By ~ 34

Author(s):

Larissa Schwarzkopf ◽

Petra Menn ◽

Reiner Leidl ◽

Sonja Wunder ◽

Hilmar Mehlig ◽

...

Keyword(s):

Claims Data ◽

Term Care ◽

Age And Gender ◽

German Health ◽

Excess Costs ◽

Insurance Claims Data ◽

Long Term Care Insurance ◽

And Gender

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Cost of Care and Pattern of Medical Care Use in the Last Year of Life among Long-Term Care Insurance Beneficiaries in South Korea: Using National Claims Data

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17239078 ◽

2020 ◽

Vol 17 (23) ◽

pp. 9078

Author(s):

Sunjoo Boo ◽

Jungah Lee ◽

Hyunjin Oh

Keyword(s):

Medical Care ◽

Long Term Care ◽

Claims Data ◽

Medical Costs ◽

Time Of Death ◽

Term Care ◽

Medical Care Use ◽

Long Term Care Insurance ◽

At Home

In Korea, a substantial proportion of long-term care insurance (LTCI) beneficiaries die within 1 year of seeking the benefit. This study was conducted to evaluate the pattern of medical care use and care cost during the last year of life among Korean LTCI beneficiaries between 2009 and 2013 using the national claims data. The National Health Insurance’s Senior (NHIS-Senior) cohort was used for this retrospective study. The participants were LTCI beneficiaries aged 65 or over as of 2008 who died between 2009 and 2013 (N = 30,433). Medical costs during the last year of life were highest for those who used both medical care services and long-term care (LTC) services and increased as death approached. About half of the participants were hospitalized at the time of death. The use of LTC services at the time of death increased from 13.0 to 22.8%, while those who died at home decreased from 34 to 20%. This study suggests that the use of LTC services did not reduce medical costs by substituting unnecessary inpatient hospitalization. Quality of dying should be considered one of the goals of older adult care, and provisions should be made for palliative care at home or LTC facilities.

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