美国艾滋病毒治疗和预防的保险覆盖和融资格局
Jennifer Kates1, Lindsey Dawson1, Tim H Horn2
1Henry J Kaiser Family Foundation, Washington, DC, USA.
Lancet (London, England)
|February 22, 2021
概括
美国"负担得起的医疗法案"扩大了医疗覆盖范围, 尽管缺乏保险,但与其他高收入国家相比,美国的艾滋病毒抑制率落后.
科学领域:
- 公共卫生
- 卫生政策
- 流行病学
背景情况:
- 美国的医疗保险体系在2010年通过了"负担得起的医疗保健法" (ACA).
- 数以百万计的人获得了覆盖范围, 包括艾滋病毒感染者或处于艾滋病毒感染风险的人.
- 美国的艾滋病毒护理和预防环境是一个复杂的支付者,提供者和资金网络.
研究的目的:
- 提供美国艾滋病毒治疗和预防覆盖范围和资金的概述.
- 讨论ACA对国内艾滋病毒医疗系统的影响.
- 检查主要的艾滋病毒护理计划并确定持续存在的挑战.
主要方法:
- 对艾滋病毒服务的医疗保险政策和融资机制的审查.
- 对"负担得起的医疗法案"对艾滋病毒覆盖率的影响的分析.
- 检查关键的艾滋病毒/艾滋病项目,包括瑞安·怀特艾滋病毒/艾滋病项目.
主要成果:
- 艾滋病毒患者主要使用医疗补助,医疗保险,私人保险或瑞安·怀特艾滋病毒/艾滋病计划.
- 瑞安·怀特艾滋病毒/艾滋病计划作为未保险/未保险人士的安全网,但提供有限的预防支持.
- 尽管无保险率下降,但美国的病毒抑制率低于其他高收入国家.
结论:
- 这项法案重塑了美国的医疗保险,
- 艾滋病毒治疗的分散性影响了整体治疗和预防的有效性.
- 解决剩余的差距对于改善美国的艾滋病特异性健康指标至关重要.
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