国家公共保险政策和移民产后护理
Maria W Steenland1, Rachel E Fabi2, Meghan Bellerose3
1Population Studies and Training Center, Brown University, Providence, Rhode Island.
JAMA
|July 18, 2023
概括
一些州的公共保险限制限制了移民的产后护理. 这种政策障碍影响着孕产妇健康状况,凸显了包容性政策的必要性.
科学领域:
- 公共卫生
- 医疗服务研究
- 卫生政策
背景情况:
- 建议所有成年人进行常规产后护理.
- 一些州限制了无证移民和最近有证件的移民的公共保险.
- 这些限制可能会阻碍基本的产后医疗服务.
研究的目的:
- 调查低收入移民的公共保险和产后护理之间的联系.
- 根据国家保险政策来比较移民与非移民的产后护理.
主要方法:
- 对怀孕风险评估监测系统数据 (2012-2019) 的综合横截分析.
- 包括19个州和纽约市的低收入成年人.
- 根据移民国家保险类别 (全额,中等保险,没有保险) 审查产后护理收据.
主要成果:
- 移民在中等或没有公共保险覆盖的州获得的产后护理比完全覆盖的州更少.
- 那些有保险限制的国家在移民和非移民之间获得产后护理的差异更大.
- 具体来说,移民在中等/无覆盖状态下获得的产后护理比完全覆盖状态低7.0至11.3个百分点.
结论:
- 公共保险的限制与移民的产后护理机会减少有关.
- 政策驱动的障碍,如保险限制,会对移民群体的母亲健康产生负面影响.
- 扩大产后护理的公共保险覆盖范围可以改善移民的健康公平.
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