関連する実験動画
子供の健康保険プログラムが新たに入学した子供に与える影響
1Department of Health Services Administration, Graduate School of Public Health, University of Pittsburgh, PA 15261, USA. Lave@pop.pitt.edu
JAMA
|June 17, 1998
まとめ
子供に健康保険を提供することで,医療へのアクセスが大幅に改善され,満たされていない医療需要が減少しました. 家族は,ストレスや負担が少なく,全般的な幸福感に良い影響を与えることを報告しました.
科学分野:
- 医療サービス 研究 医療サービス
- 小児保健の成果について
- 公共衛生政策 公共衛生政策
背景:
- 米国の子供とその家族に対する健康保険の影響に関するデータは限られている.
- 全国で無保険の子供の数を減らすことに関心が高まっている.
研究 の 目的:
- 子どもの健康保険プログラムが医療へのアクセスに与える影響を評価する.
- 子どもの生活や家族に対するより広範な影響を評価する.
主な方法:
- 比較グループとの前後の研究がペンシルベニア州西部で行われました.
- 1031人の新規入学児と460人の比較児を12ヶ月間追跡した.
- 電話による調査では,医療へのアクセス,利用,および家族への影響が評価されました.
主要な成果:
- 医療へのアクセスが著しく改善され,99%が定期的な医療を受け,85%が12ヶ月で定期的な歯科治療を受けています.
- 介護が提供されていないか,遅延した場合は,57%から16%に減少した.
- 両親は,家族のストレスが軽減され,必要なケアにアクセスする能力が向上したと報告しました.
結論:
- 医療保険を未保険の子供にも適用することで,子どもと家族の両方にとって,かなりのポジティブな結果が得られます.
- 保険は,過剰な使用ではなく,より適切な医療利用につながりました.
- この発見は,子どもの健康保険プログラムがもたらす恩恵を裏付けている.
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