Use of Medicare services by elderly residents of Puerto Rico.

Alexander M McBean, Thomas A. Bubolz, José G. Conde, Geralyn M Barosso

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


OBJECTIVES: We describe hospitalization rates among Medicare beneficiaries resident in Puerto Rico compared to beneficiaries in the mainland U.S., in 1999. METHODS: A cross-sectional analysis using Medicare Denominator and hospitalization files. RESULTS: The rate ratio (PR/U.S.) of age, gender-adjusted hospitalizations among elderly Medicare beneficiaries with Part A coverage was 0.78, compared with 0.92 among beneficiaries with both Part A and Part B coverage. Among the latter, the rate ratios were 0.78 for surgical admissions, 1.08 for low-variation medical conditions, and 0.97 for high variation medical conditions. They were higher for younger elderly beneficiaries. CONCLUSIONS: Rates of hospitalization in Puerto Rico may be lower, the same or exceed those of the mainland U.S. depending on the age of the beneficiary and the type of hospitalization.

Original languageEnglish (US)
Pages (from-to)111-118
Number of pages8
JournalPuerto Rico health sciences journal
Issue number2
StatePublished - Jun 2003


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