除了保险之外:保险覆盖拒绝是获得怀孕和产后护理的主要障碍
Jusung Lee1, Krista J Howard2, Caleb Leong1
1University of Texas at San Antonio, USA.
Clinical nursing research
|June 2, 2023
概括
拒绝保险覆盖大幅延迟了重要的怀孕和产后护理. 由于未被接受的保险和网络之外的问题,妇女面临更长的等待时间,影响她们的健康.
科学领域:
- 围产期健康 围产期健康
- 医疗保健服务研究 医疗服务研究
- 保险政策影响影响保险政策影响
背景情况:
- 及时获得医疗保健对于母亲和婴儿的福祉至关重要.
- 拒绝保险覆盖可能会给获得必要医疗服务造成障碍.
- 了解保险拒绝对产周护理的影响对于改善健康结果至关重要.
研究的目的:
- 调查拒绝保险覆盖和怀孕期间和产后期间护理延迟之间的关联.
- 量化与保险相关障碍有关的护理延迟的程度.
- 确定导致这些延误的因素.
主要方法:
- 在2022年3月至4月期间,对1113名孕妇或产后妇女进行了在线调查.
- 在四个时间点收集了延迟护理的数据:怀孕期间,1周,2-6周,产后7周.
- 提供者拒绝保险覆盖是被检查的主要共变量.
主要成果:
- 延迟护理与被拒绝保险覆盖有显著的关联.
- 没有接受保险或没有网络状态的妇女经历了延迟护理的更大几率,特别是在分娩后1周 (3.37x和3.47x) 和2-6周 (5.74x和2.97x).
- 延误与交通,农村居住,时间限制和财务问题有关.
结论:
- 拒绝保险覆盖是导致产周护理延迟的一个重要因素.
- 这些延迟对产妇保健服务的有效性有实际影响.
- 解决保险障碍对于确保对孕妇和产后患者及时和适当的护理至关重要.
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