Benefits of small area measurements: A spatial clustering analysis on medicare beneficiaries in the USA

Small area estimates on where services for potential Medicare beneficiaries may be needed, could provide unique research opportunities for improving the healthcare quality of the ageing U.S. population. The project described in this paper validates this argument by contrasting the spatial clustering...

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Main Author: Carlos Siordia
Format: Article
Language:English
Published: University of Bucharest 2013-05-01
Series:Human Geographies: Journal of Studies and Research in Human Geography
Subjects:
Online Access:http://humangeographies.org.ro/articles/71/7_1_13_5_siordia.pdf
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author Carlos Siordia
author_facet Carlos Siordia
author_sort Carlos Siordia
collection DOAJ
description Small area estimates on where services for potential Medicare beneficiaries may be needed, could provide unique research opportunities for improving the healthcare quality of the ageing U.S. population. The project described in this paper validates this argument by contrasting the spatial clustering results from an analysis that uses large geographical units with proxy measures to the results from an analysis using small area geographic units with direct measures. Large-area proxy measures come from county-level U.S. Census Bureau 2010 cross sectional data on the number of people aged 65 and over. Medicare beneficiary estimates in 2007 with Primary Care Service Areas (PCSAs) make up the small-area direct-measure analysis. Findings show that the latter offers a more geographically defined appraisal of where healthcare quality efforts should focus to aid potential Medicare beneficiary populations. Because the healthcare quality of an aging population will only increase in importance as their numbers grow in the US, further research is needed.
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spelling doaj.art-d1ff8a4b25594e27bf7db3369c40946f2022-12-22T01:49:52ZengUniversity of BucharestHuman Geographies: Journal of Studies and Research in Human Geography1843-65872067-22842013-05-0171535910.5719/hgeo.2013.71.53Benefits of small area measurements: A spatial clustering analysis on medicare beneficiaries in the USACarlos Siordia0Epidemiology Department, Graduate School of Public Health, University of Pittsburgh, USASmall area estimates on where services for potential Medicare beneficiaries may be needed, could provide unique research opportunities for improving the healthcare quality of the ageing U.S. population. The project described in this paper validates this argument by contrasting the spatial clustering results from an analysis that uses large geographical units with proxy measures to the results from an analysis using small area geographic units with direct measures. Large-area proxy measures come from county-level U.S. Census Bureau 2010 cross sectional data on the number of people aged 65 and over. Medicare beneficiary estimates in 2007 with Primary Care Service Areas (PCSAs) make up the small-area direct-measure analysis. Findings show that the latter offers a more geographically defined appraisal of where healthcare quality efforts should focus to aid potential Medicare beneficiary populations. Because the healthcare quality of an aging population will only increase in importance as their numbers grow in the US, further research is needed.http://humangeographies.org.ro/articles/71/7_1_13_5_siordia.pdfAgingDemographicsHealth CareMedicarePrimary care service areaSmall area estimatesSpatial clustering
spellingShingle Carlos Siordia
Benefits of small area measurements: A spatial clustering analysis on medicare beneficiaries in the USA
Human Geographies: Journal of Studies and Research in Human Geography
Aging
Demographics
Health Care
Medicare
Primary care service area
Small area estimates
Spatial clustering
title Benefits of small area measurements: A spatial clustering analysis on medicare beneficiaries in the USA
title_full Benefits of small area measurements: A spatial clustering analysis on medicare beneficiaries in the USA
title_fullStr Benefits of small area measurements: A spatial clustering analysis on medicare beneficiaries in the USA
title_full_unstemmed Benefits of small area measurements: A spatial clustering analysis on medicare beneficiaries in the USA
title_short Benefits of small area measurements: A spatial clustering analysis on medicare beneficiaries in the USA
title_sort benefits of small area measurements a spatial clustering analysis on medicare beneficiaries in the usa
topic Aging
Demographics
Health Care
Medicare
Primary care service area
Small area estimates
Spatial clustering
url http://humangeographies.org.ro/articles/71/7_1_13_5_siordia.pdf
work_keys_str_mv AT carlossiordia benefitsofsmallareameasurementsaspatialclusteringanalysisonmedicarebeneficiariesintheusa