子供の健康保険プログラムに対する待機期間を廃止することと子どもの入学を関連付けること
Erica L Eliason1,2, Amal Trivedi3, Patrick Vivier4
1Rutgers Center for State Health Policy, Rutgers University, 112 Paterson St, 5th Floor, New Brunswick, NJ, 08901, USA. erica.eliason@rutgers.edu.
Maternal and child health journal
|August 30, 2025
まとめ
安価な医療法 (ACA) に基づく子どもの健康保険プログラム (CHIP) の待機期間を廃止することで,児童の登録が16%増加しました. この政策の変更は CHIP 保険への子供へのアクセスに好影響を与えた.
科学分野:
- 医療サービス研究
- 公衆衛生政策
- 子供の健康保険
背景:
- 歴史的に見て,ほとんどの州は子供の健康保険プログラム (CHIP) に入学する前に待機期間を課しました.
- 安価な医療法 (ACA) は,最大90日間の待機期間を義務付け,州はこれらの要件を削減または廃止するよう促しました.
研究 の 目的:
- CHIP等待期間を州レベルで廃止することと児童入学率との関連を調査する.
- CHIP登録に対するACA主導の政策変更の影響を定量化します.
主な方法:
- メディケア・メディケイド・サービスセンター (2010年−2019年) の年間登録データを活用した.
- 待機期間を廃止した20州と維持した14州のCHIP登録比率を比較した.
- 待合期廃止の影響を評価するために,差異の差異モデルを使用した.
主要な成果:
- 待機期間を廃止した州では,CHIPの登録率が10.86%から13.43%に増加しました.
- 待機期間の排除は,統計的に有意な1. 75%ポイントのCHIP入学率と関連していました.
- これは,政策以前のレベルと比較して,約16%の登録増加を表しています.
結論:
- ACAの下でのCHIP待機期間の廃止は,子供の入学率のわずかな,しかし重要な増加をもたらしました.
- これらの発見は,入学障壁を撤廃することで,子どもの健康保険へのアクセスに与える ポジティブな影響を強調しています.
- 9つの州では 待機期間が維持されていて 進んだ入学率の上昇の可能性を示唆しています
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