美国医疗债务,2009-2020年
Raymond Kluender1, Neale Mahoney2,3, Francis Wong3
1Harvard Business School, Harvard University, Boston, Massachusetts.
JAMA
|July 20, 2021
概括
医疗债务在美国是一个重大问题, 医疗补助的扩张与医疗债务的减少有关,特别是在低收入群体中.
科学领域:
- 健康经济学
- 公共卫生政策
- 消费者信贷
背景情况:
- 医疗债务在美国是一个日益严重的问题,
- 了解医疗政策对医疗债务的影响至关重要.
研究的目的:
- 量化国家和地区医疗债务负担.
- 研究医疗补助扩张与不同收入水平的医疗债务之间的关联.
主要方法:
- 使用10%的国家消费者信用报告样本 (2009年1月至2020年6月) 来获取医疗债务数据.
- 美国社区调查 (2014-2018) 和州医疗补助扩张状态的综合收入数据.
主要成果:
- 2020年6月,17.8%的个人有医疗债务,平均为429美元.
- 医疗债务在南方和低收入地区最高.
- 与没有扩张的州相比,扩张医疗补助的州医疗债务流量下降得更大.
结论:
- 在南方和低收入人口中集中.
- 医疗补助的扩张似乎减轻了医疗债务,
- 需要进一步研究COVID-19相关的医疗债务.
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