贫穷和生病是否会改变个人对高扣除健康计划 (HDHP) 报告延迟/遗漏护理的影响?
Journal of health care for the poor and underserved
|July 19, 2023
概括
高扣除率医疗计划 (HDHPs) 增加了延迟或遗漏护理的可能性,无论一个人的收入或健康状况如何. 这一效应在研究中的各种社会经济和健康层面中保持一致.
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
- 公共卫生政策 公共卫生政策
背景情况:
- 高扣除健康计划 (HDHP) 越来越普遍,可能会影响医疗保健的获得.
- 了解社会经济因素如何与HDHP覆盖互动,对于健康公平至关重要.
- 之前的研究表明,成本障碍影响了护理利用率,但收入和健康状况与HDHPs的综合影响需要进一步探索.
研究的目的:
- 评估HDPs与延迟或放弃医疗保健之间的关联.
- 确定贫困和健康状况不佳是否会改变这种关联.
- 评估收入和健康对HDHP相关护理获取障碍的独立和综合影响.
主要方法:
- 横截面研究设计. 截面研究设计.
- 分析了来自14,203名受访者的数据,代表了1200万美国人.
- 在HDHP和非HDHP保险人之间使用护理的比较.
- 根据收入和健康状况进行分层分析,包括相互作用效应.
主要成果:
- 与非HDHP相比,患有HDHP的个体延迟或放弃护理的几率是HDHP的2.23倍.
- 这种关联在不同的收入和健康状况层中保持一致.
- 在贫困和疾病之间没有发现统计学上显著的相互作用,这与HDHP相关的延迟/放弃护理有关.
结论:
- 高度健康保障计划的入学是延迟或放弃护理的重要预测因素.
- HDHPs对护理准入的影响似乎是一致的,无论个人的财务或健康状况如何.
- 对于HDHP的政策考虑应在不同患者群体中均地解决潜在的入场障碍.
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