种族和民族和医疗保险计划类型与门诊护理准入和质量措施的关联
Kenton J Johnston1, Gmerice Hammond2, David J Meyers3
1Department of Health Management and Policy, Saint Louis University, St Louis, Missouri.
医疗保险优惠计划改善了少数群体的医疗服务质量. 然而,种族和民族少数群体在两种医疗保险计划中的受益者相比,
科学领域:
- 医疗服务研究
- 医疗公平
- 在医疗保健中的种族差异
背景情况:
- 在美国的医疗保健和医疗质量方面的种族不平等已得到充分证实.
- 目前尚不清楚这些差异是否存在于Medicare Advantage和传统医疗保险之间.
- 了解这些差异对于改善少数群体受益者的护理至关重要.
研究的目的:
- 为了比较医疗保险优势和传统的医疗保险对种族和少数民族的受益者.
- 在这两个医疗保险计划中,根据种族和种族,识别入学,获取和质量的差异.
主要方法:
- 一个探索性观察性队列研究,使用来自医疗保险当前受益者调查 (2015-2018) 的全国代表性样本.
- 在医疗保险优势和传统医疗保险之间比较了六项患者报告的门诊护理准入和质量.
- 分析了按种族和种族分层的数据,包括少数群体 (黑人,西班牙裔,美洲原住民,亚洲/太平洋岛民) 和白人/多种族受益者.
主要成果:
- 与传统医疗保险相比,少数群体的受益者获得更好的初级保健医生,流感和肺炎疫苗接种率更高,结肠癌查率更高.
- 在两项计划中,与白人或多种族受益者相比,少数群体受益者在获得初级保健,专家访问和接种疫苗方面的结果始终较差.
- 在任何测量结果中都没有发现种族/种族和保险类型之间的统计学意义上的相互作用.
结论:
- 与传统医疗保险相比,医疗保险优势的入学与少数群体受益者的获得和质量结果的改善有关.
- 尽管情况有所改善,但仍存在显著的差异,少数群体受益者获得的医疗保健和医疗保健质量总体上较差.
- 需要进一步的研究和有针对性的干预措施来解决医疗保险中持续存在的种族和种族不平等问题.
更多相关视频
08:13Using the Race Model Inequality to Quantify Behavioral Multisensory Integration Effects
Published on: May 10, 2019
07:22Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes
Published on: March 7, 2025
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Standards of Care I
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Methods of Documentation VII: EMR
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
