在韩国对辅助生殖技术的评估 韩国对多胎妊娠和多胎分娩的健康保险覆盖
Wontae Cha1,2, Il Yun1,3, Chung-Mo Nam4
1Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.
JAMA network open
|June 6, 2023
概括
韩国国家医疗保险对辅助生殖技术 (ART) 的覆盖率显著增加了多胎怀孕和分娩的比率. 这一政策可能有助于通过支持不育夫妇来解决生育率下降的问题.
科学领域:
- 生殖医学 生殖医学
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 发达国家的生育率下降,需要制定支持不育夫妇的政策.
- 辅助生殖技术 (ART) 是治疗不孕症的一个关键干预措施.
- 关于ART保险覆盖的全国影响的有限的大规模研究存在.
研究的目的:
- 评估国家ART医疗保险对韩国多胎妊娠和多胎分娩的影响.
- 分析政策实施前后多胎产生的趋势.
主要方法:
- 基于人口的队列研究,使用韩国国家医疗保险服务交付数据 (2015年7月 - 2019年12月).
- 包括1,474,484名女性,比较了在ART覆盖之前和之后的27个月期间.
- 间断时间序列分析与细分回归以评估结果变化.
主要成果:
- 多胎妊娠增加了0.7%,多胎分娩增加了1.2%的ART后覆盖率.
- 在保险实施后,每个孕妇的总分娩量增加了0.5%.
- 在覆盖后的收入水平上观察到多胎和总胎的显著增加.
结论:
- 韩国国家ART医疗保险覆盖范围显著增加了多胎妊娠和多胎分娩的发生率.
- 这些发现表明,ART保险可以作为缓解低生育率的策略.
- 政策制定和对不孕症治疗的覆盖对于应对人口学挑战至关重要.
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