对于最近和无证移民的紧急医疗补助支出趋势
C Annette DuBard1, Mark W Massing
1Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA. adubard@schsr.unc.edu
JAMA
|March 16, 2007
概括
北卡罗来纳州的紧急医疗补助主要涵盖无证移民的分娩和妊娠并发症. 支出正在上升,特别是在老年人和残疾人群体,受伤也是一个重要的成本驱动因素.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 移民 卫生 移民 卫生
背景情况:
- 无证和最近的合法移民面临医疗补助资格限制,除紧急服务外,他们只能获得有限的护理.
- 移民人口的快速增长需要了解他们的医疗保健利用模式和紧急医疗补助使用情况.
研究的目的:
- 分析北卡罗来纳州无证和近期移民中紧急医疗补助的使用情况.
- 确定与紧急医疗补助相关的患者人口统计,诊断和支出趋势.
主要方法:
- 描述性分析北卡罗来纳州2001-2004年的医疗补助行政数据.
- 纳入标准侧重于符合医疗补助资格但由于移民身份而被排除在完全覆盖范围之外的个人.
主要成果:
- 近48,391人使用紧急医疗补助,主要是无证人员 (99%),西班牙裔 (93%),女性 (95%),18-40岁 (89%).
- 总支出从2001年至2004年增加了28%,老年人和残疾患者的增长率更高.
- 在2004年,分娩和妊娠并发症占大部分支出 (82%) 和住院费用 (91%).
结论:
- 北卡罗来纳州的紧急医疗补助主要用于非法移民的分娩和与怀孕有关的护理.
- 虽然生育占主导地位,但老年人和残疾移民人口的支出增长速度更快.
- 对于非怀孕的移民来说,急性伤害和严重的慢性疾病并发症是紧急医疗补助使用的主要原因.
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