德拉华州的健康和住房::匹配医疗补助申请和遭遇以及社区管理信息系统数据库
Erin Nescott1, Stephen Metraux1, Mary Joan McDuffie1
1Center for Community Research & Service, Joseph R. Biden, Jr. School of Public Policy & Administration, University of Delaware.
Delaware journal of public health
|August 25, 2023
概括
医疗补助受益者中的无家可归与更高的医疗保健成本有关. 经历无家可归的人在2019年比住房同龄人增加了4,611美元至5,218美元的成本.
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:
- 无家可归严重影响医疗保健的利用率和成本.
- 无家可归的医疗补助受益人代表了一个具有复杂健康需求的弱势群体.
研究的目的:
- 量化与无家可归相关的过度医疗保健费用,在符合医疗补助资格的成年人中.
- 为了比较无家可归者和住房医疗补助注册人员之间的医疗保健利用率和成本.
主要方法:
- 医疗补助申请和无家可归管理信息系统 (HMIS) 记录之间的数据链接.
- 倾向性得分匹配以创建可比的住房和无家可归队列.
- 常规最小平方回归用于分析成本差异.
主要成果:
- 2019年,无家可归与每人超过的医疗费用有关,非慢性无家可归为4,611美元,慢性无家可归为5,218美元.
- 组之间比较了并发症得分,物质使用障碍发生率和医疗保健访问模式.
结论:
- 无家可归对于医疗补助系统来说是一个巨大的财务负担.
- 有针对性的干预措施和支持性住房可以减轻这些过度的医疗保健成本.
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