美国髋部骨折患者Medicare按服务收费与Medicare优势计划后急性康复使用、住院时间及结局比较：行政数据二次分析

数据集获取（Figshare）

• 源站标题：Comparing post-acute rehabilitation use, length of stay, and outcomes experienced by Medicare fee-for-service and Medicare Advantage beneficiaries with hip fracture in the United States: A secondary analysis of administrative data
• DOI：10.1371/journal.pmed.1002592
• 发布日期：2018-06-26
• 文件数：6 个
• 文件总体积：420.79 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Comparing_post-acute_rehabilitation_use_length_of_stay_and_outcomes_experienced_by_Medicare_fee-for-service_and_Medicare_Advantage_beneficiaries_with_hip_fracture_in_the_United_States_A_secondary_analysis_of_administrative_data/6684200

命令行下载

curl -L -o "pmed.1002592.s001.doc" "https://ndownloader.figshare.com/files/12209675"
curl -L -o "pmed.1002592.s002.tif" "https://ndownloader.figshare.com/files/12209678"
curl -L -o "pmed.1002592.s003.docx" "https://ndownloader.figshare.com/files/12209684"
curl -L -o "pmed.1002592.s004.docx" "https://ndownloader.figshare.com/files/12209687"
curl -L -o "pmed.1002592.s005.docx" "https://ndownloader.figshare.com/files/12209690"
curl -L -o "pmed.1002592.s006.docx" "https://ndownloader.figshare.com/files/12209696"

文件清单

• pmed.1002592.s001.doc（91.65 KB）
• pmed.1002592.s002.tif（163.92 KB）
• pmed.1002592.s003.docx（46.44 KB）
• pmed.1002592.s004.docx（33.76 KB）
• pmed.1002592.s005.docx（43.08 KB）
• pmed.1002592.s006.docx（41.94 KB）

文件总体积 420.79 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Background
Medicare Advantage (MA) and Medicare fee-for-service (FFS) plans have different financial incentives. Medicare pays predetermined rates per beneficiary to MA plans for providing care throughout the year, while providers serving FFS patients are reimbursed per utilization event. It is unknown how these incentives affect post-acute care in skilled nursing facilities (SNFs). The objective of this study was to examine differences in rehabilitation service use, length of stay, and outcomes for patients following hip fracture between FFS and MA enrollees.
Methods and findings
This was a retrospective cohort study to examine differences in health service utilization and outcomes between FFS and MA patients in SNFs following hip fracture hospitalization during the period January 1, 2011, to June 30, 2015, and followed up until December 31, 2015. We linked the Master Beneficiary Summary File, Medicare Provider and Analysis Review data, Healthcare Effectiveness Data and Information Set data, the Minimum Data Set, and the American Community Survey. The 6 primary outcomes of interest in this study included 2 process measures and 4 patient-centered outcomes. Process measures included length of stay in the SNF and average rehabilitation therapy minutes (physical and occupational therapy) received per day. Patient-centered outcomes included 30-day hospital readmission, changes in functional status as measured by the 28-point late loss MDS-ADL scale, likelihood of becoming a long-term resident, and successful discharge to the community. Successful discharge from a SNF was defined as being discharged to the community within 100 days of SNF admission and remaining alive in the community without being institutionalized in any acute or post-acute setting for at least 30 days. We analyzed 211,296 FFS and 75,554 MA patients with hip fracture admitted directly to a SNF following an index hospitalization who had not been in a nursing facility or hospital in the preceding year. We used inverse probability of treatment weighting (IPTW) and nursing facility fixed effects regression models to compare treatments and outcomes between MA and FFS patients. MA patients were younger a

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pmed.1002592（source: https://plos.figshare.com/articles/dataset/Comparing_post-acute_rehabilitation_use_length_of_stay_and_outcomes_experienced_by_Medicare_fee-for-service_and_Medicare_Advantage_beneficiaries_with_hip_fracture_in_the_United_States_A_secondary_analysis_of_administrative_data/6684200）。