美国的公民身份状况和与成本相关的不遵守,2017-2021年
Jenny S Guadamuz1, Dima M Qato1,2
1Program on Medicines and Public Health, Titus Family Department of Clinical Pharmacy, University of Southern California School of Pharmacy, Los Angeles, California, USA.
Health services research
|June 1, 2023
概括
由于医疗保健和粮食不安全的障碍,非公民面临着与处方药的重大成本相关的不遵守. 解决这些系统性问题对于减少所有人口的健康不平等至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 健康 公平 卫生 公平
背景情况:
- 与处方药的成本相关的不遵守 (CRN) 是一个重要的公共卫生问题.
- 在各种人口群体中,药物获取和药物坚持存在差异.
- 公民身份是获得医疗保健和经济压力的潜在决定因素.
研究的目的:
- 调查处方药使用中的不平等现象.
- 评估非公民,入籍公民和美国出生的公民之间的与成本相关的不遵守 (CRN) 和节省成本的策略.
- 确定导致这些差异的因素.
主要方法:
- 使用国家卫生访谈调查数据 (2017-2021) 进行横截面研究.
- 分析包括非公民,入籍公民和美国出生的成年公民 (N=141,591).
- 多重调解分析检查了影响CRN的经济,医疗保健和移民因素.
主要成果:
- 与公民相比,非公民报告使用处方药的比例较低,但CRN较高.
- 保险状况和粮食不安全是非公民与公民之间的CRN差异的媒介.
- 非公民,尤其是没有医疗保险的老年人,更有可能进口药物,并且不太可能要求更低成本的处方.
结论:
- 非公民面临着与处方药的成本相关的重大障碍.
- 获得医疗保健和粮食安全是推动这些不平等的关键因素.
- 干预措施应解决系统性障碍,以改善所有人的药物获取,无论其国籍状况如何.
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