以前没有保险的成年人获得医疗保险后的健康状况
J Michael McWilliams1, Ellen Meara, Alan M Zaslavsky
1Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA.
JAMA
|December 27, 2007
概括
获得医疗保险覆盖率显著改善了以前没有保险的成年人的健康趋势,特别是那些患有心血管疾病或糖尿病的人. 这证明了保险对弱势近年人群的健康益处.
科学领域:
- 卫生经济学 卫生经济学
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 没有保险的近年老年人,特别是那些患有慢性疾病,如心血管疾病或糖尿病的人,与他们的保险对手相比,面临着更差的健康结果.
- 对于这一群体来说,保险覆盖的具体健康优势仍然未被充分探索.
研究的目的:
- 评估获得医疗保险对以前没有保险的成年人健康状况的影响.
主要方法:
- 利用了从健康和退休研究 (1992-2004) 的纵向数据上的准实验分析.
- 在65岁时获得医疗保险资格后,比较了以前没有保险的健康趋势变化与持续保险的成年人.
- 评估自我报告的一般健康状况,运动能力,疼痛,抑郁症状和不良心血管结果.
主要成果:
- 与保险人群相比,以前没有保险的成年人在获得医疗保险后的健康趋势明显改善.
- 患有心血管疾病或糖尿病的成年人在总体健康,移动性,敏捷性方面经历了显著的改善,心血管不良结果减少.
- 在这些慢性疾病的未保险和保险成年人之间,总体健康的健康差异在70岁时缩小了50%.
结论:
- 获得医疗保险覆盖与以前没有保险的近年人中自我报告的健康趋势的增强有关.
- 积极的健康影响对于那些有先前存在的心血管疾病或糖尿病的人来说尤其明显.
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