COVID-19对双重资格受益人的影响:一个范围审查
Sarah J Marks1, Natalie M Davoodi2, Robbie Felton3
1Department of Health Behavior and Policy and MSTP Program, Virginia Commonwealth University, Richmond, VA, USA.
COVID-19不成比例地影响了双重资格受益者,增加了死亡率和粮食不安全,同时改善了社会联系. 需要对这一群体进行更多的研究.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
背景情况:
- 医疗补助和医疗保险双重资格的受益人代表一个有复杂健康需求的弱势群体.
- COVID-19大流行给医疗保健和人口健康带来了前所未有的挑战.
- 了解大流行对这一特定群体的影响对于有针对性的干预至关重要.
研究的目的:
- 检查COVID-19对医疗健康结果和医疗保健相关社会需求对Medicaid-Medicare双重资格受益人的影响.
- 综合现有关于大流行对该人口影响的研究.
主要方法:
- 使用PubMed和CINAHL进行了全面的范围审查.
- 在COVID-19大流行期间发表的研究确定和分析了满足纳入标准的标准.
- 对代表超过8600万受益者的15篇精选文章进行了主题分析.
主要成果:
- 在15项研究中的12项中,双重资格的受益人与仅接受医疗保险的受益人相比,经历了与COVID-19相关的不同结果.
- 双重符合条件的人群的整体死亡率较高,但在养老院和辅助生活中除外.
- 双重资格人士报告说,粮食不安全性增加,但社会联系也更大.
结论:
- 在COVID-19期间,双重资格受益者面临着不同的健康结果和社会需求,尽管研究有限,特别是关于社会需求.
- 未来的研究应特别关注双重符合条件的结果,综合护理和财政调整,以满足他们的独特需求.
- 需要有针对性的战略来缓解差异,并改善对这一群体的健康和社会支持.
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