在私人保险的残疾儿童中专业使用
Alyna T Chien1,2, Lauren E Wisk3, Nancy Beaulieu4
1Division of General Pediatrics, Department of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Health services research
|July 18, 2023
概括
大多数残疾儿童在独立实践中获得初级保健,与类似的专家访问,但与系统拥有的实践相比,访问次数更少. 这凸显了这一群体在护理利用方面的潜在差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科医疗保健 儿科医疗保健
- 关于残疾人的研究.
背景情况:
- 了解残疾儿童如何获得医疗保健对于提高护理质量和价值至关重要.
- 初级保健实践所有权 (独立与系统所有) 可能会影响专家利用模式.
研究的目的:
- 对商业保险的残疾儿童进行初级保健实践所有权和专家使用模式的调查.
- 检查实践所有权如何与这一群体中的专家使用模式相关.
主要方法:
- 使用国家商业索赔数据库 (2012-2016) 进行横截面描述性研究.
- 包括133,749人年商业保险儿童 (0-18岁) 的残疾和持续覆盖.
- 将索赔数据与卫生系统和提供者数据库联系起来,并应用残疾儿童算法.
主要成果:
- 大多数残疾儿童 (75.9%) 在独立实践中接受初级保健.
- 近三分之二 (59.6%) 使用至少一名专家,其中很大一部分 (45.1%) 使用非儿科专家.
- 在独立实践和系统所有实践中,专家使用率相似,但在独立实践中,专家访问的平均数量较低 (4.0对4.4).
结论:
- 实践所有权并没有显著地影响看到残疾儿童专家的可能性.
- 独立实践中的残疾儿童与系统所有实践中的儿童相比,专家访问的次数较少.
- 识别这些模式对于提高私人保险的残疾儿童的护理质量和价值至关重要.
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