米国における医療債務,2009-2020年
Raymond Kluender1, Neale Mahoney2,3, Francis Wong3
1Harvard Business School, Harvard University, Boston, Massachusetts.
JAMA
|July 20, 2021
まとめ
医療費の負債はアメリカでは大きな問題であり 南部と低所得層に多大な影響を与えている. メディケイドの拡大は,特に低所得層の医療債務の減少と関連していました.
科学分野:
- 健康 経済
- 公衆衛生政策
- 消費者金融
背景:
- 医療債務は米国で増加している問題であり,その流行と地理的分布に関するデータは限られています.
- メディケイドの拡大などの医療政策が 医療債務に与える影響を理解することは 極めて重要です
研究 の 目的:
- 医療債務の国内と地域の負担を定量化する.
- 医療保険の拡大と 医療債務の関連性を調べる
主な方法:
- 消費者信用報告書の10%の全国サンプル (2009年1月~2020年6月) を医療債務データとして利用した.
- アメリカン・コミュニティ・サーベイ (2014年−2018年) の統合所得データと,州のメディケイド拡大状況.
主要な成果:
- 2020年6月,個人の17.8%が医療債務を抱え,平均は429ドルでした.
- 医療費の負債は 南部と低所得地区で最高でした
- メディケイドを拡大した州は 拡大しない州と比較して 医療債務の流れが大きく減少した.
結論:
- 医療費の徴収は 南部と低所得層に 集中しています
- メディケイドの拡大は,特に低所得者の医療債務を軽減するように見えます.
- COVID-19に関連する医療債務に関するさらなる研究が必要である.
さらに関連する動画
関連する概念動画
Issues And Trends In Healthcare Delivery System
5.9K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.9K
Standards of Care I
875
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
875
Standards of Care II
848
Nurses bear specific legal responsibilities under several federal statutes, including:
848
Introduction To Health Care Delivery System
3.4K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.4K
Health Information Technology and Healthcare Information System
1.0K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
1.0K
Current Trends in Nursing II
1.5K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.5K


