医疗保健负担不起的城市和农村差异
Hannah MacDougall1, Daniel Mork2, Stephanie Hanson1
1University of Minnesota School of Social Work, Falcon Heights, Minnesota, USA.
概括
农村居民面临更高的医疗费用问题和无法支付的问题. 然而,多变量模型显示,农村地区与整体负担能力无关,有显著的相互作用影响了体验.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 卫生经济学 卫生经济学
背景情况:
- 医疗保健负担能力在美国仍然是一个关键问题.
- 农村和城市人口之间经常存在医疗保健获取和负担能力的不平等.
- 了解医疗保健负担不起的细微差别对于有针对性的政策干预至关重要.
研究的目的:
- 为了比较农村和城市环境中的医疗保健负担不起.
- 检查社会人口统计学和社会经济变量如何影响这种城乡差异.
- 确定在不同地理环境中导致医疗保健成本负担的具体因素.
主要方法:
- 利用了来自2019-2021年国家健康访谈调查 (n=90,761) 的数据.
- 进行了千平方测试,以比较城市和农村的子样本.
- 进行了多变量后勤回归分析,以评估农村与不可承受的措施的关联,包括相互作用效应.
主要成果:
- 两种分析表明,农村居民更有可能报告支付医疗费用的问题 (15.0%对11.5%) 和无法支付费用 (9.3%对7.1%).
- 多变量分析显示,农村居民不太可能担心支付医疗费用 (AOR: .915).
- 农村居民和保险类型,年龄,收入与贫困比率,以及支付账单问题的种族/族裔之间发现了显著的相互作用,以及支付账单问题的收入与贫困比率和种族/族裔之间.
结论:
- 与城市居民相比,农村居民的特定医疗保健负担不起问题率更高.
- 多变量模型表明,农村居住本身并不是整体医疗保健负担不起的预测因素.
- 农村和个体特征之间的相互作用凸显了医疗保健负担不起的各种经验.
更多相关视频
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
457
03:35Determining Gender-Based Differences in Retinal and Choroidal Thickness in Underweight Individuals via Swept-Source Optical Coherence Tomography
Published on: December 1, 2023
335
相关概念视频
01:29Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:18Introduction To Health Care Delivery System
2.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.8K
01:30Specialized Care Centers and Settings-II
756
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
756
01:11Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K