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Interventions that Increase the Utilization of Medicare-Funded Preventive Services for Persons Age 65 and Older
The proportion of the U.S. population over age 65 has increased from 5% in 1900 to 13% in 1997. This change in demographics, combined with an increase in average life expectancy, has highlighted the importance of preventive care services for older individuals (Rowe, 1999). For example, in 1993, the five most common causes of mortality among patients age 65 and over were heart disease, cancer, cerebrovascular diseases, chronic obstructive pulmonary disease, and pneumonia and influenza, all of which are potentially preventable (CDC, 1996). Early detection and treatment can improve the health of patients with many of these conditions and potentially decrease health care costs. Similarly, appropriate immunizations can prevent several of these conditions from occurring, or render the disease less severe. To help determine the best strategies for early detection and prevention of some of these conditions, the Health Care Financing Administration (HCFA) has commissioned this project to assess interventions designed to improve influenza and pneumococcal immunization rates, mammography rates, cervical smear cytology rates, and colon cancer screening rates.
Reprinted with permission from Office of Research, Development, and Information Centers for Medicare & Medicaid Services.
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Executive Summary and Evidence Report
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Contents
Part 1
Executive Summary and Evidence-Based Recommendations
Evidence Report
Introduction
Methods
Results
Limitations
Conclusions
References Cited
Part 2
Appendices
Reference List: Journal Articles Accepted
Reference List: Narrative Project Documents Accepted
Reference List: Journal Articles Not Accepted
Reference List: Narrative Project Documents Not Accepted
Glossary of Terms
Evidence Tables
Originally published in: Evidence Report and Evidence-Based Recommendations: Interventions that Increase the Utilization of Medicare-Funded Preventive Services for Persons 65 and Older.
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