根据保险在南佛罗里达州获得产科护理:一个跨部门研究
Maria Kolesova1, Sydney Sarantos1, Juan Alvarez1
1Medical School, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Cureus
|September 8, 2023
概括
南佛罗里达州的医疗补助保险妇女在获得产科护理方面面临重大障碍,与私人保险相比,她们的预约等待时间更长. 这种在获取机会上的差异可能会增加与不充分的产前护理相关的风险.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 早期产前护理对于最佳的怀孕和分娩结果至关重要.
- 延迟开始护理和不充分的访问与早产,死产和婴儿死亡率的风险增加有关.
- 之前的研究表明,拥有公共保险的妇女比拥有私人计划的妇女更晚获得产前护理.
研究的目的:
- 确定公共医疗保险,特别是医疗补助,是否限制佛罗里达州患者获得产科护理.
- 为了比较医疗补助和私人保险计划的预约可用性和接受率.
主要方法:
- 一项横截面研究分析了佛罗里达州南部人口最多的医疗补助邮政编码中的产科护理准入.
- 数据是通过HealthGrades.com收集的,搜索在10英里半径内的高评级产科医生.
- 研究人员模拟了虚构患者的预约请求,记录了保险接受 (医疗补助,Cigna,UHG) 和等待时间.
主要成果:
- 只有45.1%的产科医生接受了医疗补助计划,而联合医疗保健的比例为97.2%,Cigna的比例为98.6%.
- 医疗补助计划患者的预约平均等待时间明显长 (17.0天),而不是联合医疗保健 (12.7天).
- 在医疗补助和私人保险计划之间,保险接受率和预约等待时间都存在统计学上显著的差异.
结论:
- 与私人保险人相比,佛罗里达州南部的医疗补助患者获得产科护理的机会大大减少.
- 这种减少获得产前护理的机会可能会导致不良的怀孕和分娩结果.
- 调查结果强调,决策者需要在未来的医疗补助扩展讨论中考虑这些接入差异.
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