在产后期间,医疗保健负担不起的城乡差异
Hannah MacDougall1, Stephanie Hanson1, Julia D Interrante2
1University of Minnesota School of Social Work, Saint Paul.
Medical care
|August 10, 2023
概括
产后患者在医疗保健负担能力方面面临重大挑战,无论其位置如何. 这项研究强调,与非产后人群相比,产后妇女无法支付医疗费用的比例增加.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 医疗保健的负担能力仍然是一个关键问题,特别是对于弱势群体.
- 了解农村居民与城市居民的医疗费用差异以及产后状态的差异对于有针对性的干预措施至关重要.
研究的目的:
- 调查农村和城市人口中医疗保健负担不起的问题.
- 检查产后状态对医疗保健负担能力的影响.
主要方法:
- 利用了来自2019-2021年国家健康访谈调查 (n=17,800) 的横截面数据.
- 分析了三项衡量医疗保健负担能力的指标.
- 采用双变量和多变量回归模型来评估关联.
主要成果:
- 与非产后人群相比,产后人群报告的无法支付医疗费用和支付费用问题显著更高.
- 农村居民在双变量分析中也显示了这些负担不起的问题的更高率.
- 在调整后的模型中,只有产后状态仍然是医疗保健负担不起的重要预测因素.
结论:
- 产后状态独立地与增加的医疗保健负担能力有关.
- 这些发现表明,分娩后的个人在获得医疗保健方面面临着独特的财务挑战,无论他们的地理位置如何.
- 政策影响应考虑为分娩后个人提供有针对性的支持,以减轻医疗费用负担.
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