医疗保险优势通过移民和英语能力状态的入学
Sungchul Park1, David J Meyers, Maricruz Rivera-Hernandez
1Department of Health Policy and Management, College of Health Science, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul, Republic of Korea 02841.
The American journal of managed care
|September 20, 2023
概括
移民,特别是那些英语水平有限的人,比美国出生的居民有更高的医疗保险优势 (MA) 注册率. 需要进一步研究他们在MA计划中的护理经验.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 移民健康 移民健康
背景情况:
- 复杂的医疗保险优势 (MA) 医疗计划选择可能会给移民带来挑战.
- 有限的英语水平 (LEP) 可能会加剧移民群体在导航医疗保健选择时的决策困难.
研究的目的:
- 检查移民中医疗保险优势 (MA) 注册的趋势和模式.
- 以基于移民身份和英语水平的MA入学率进行比较.
主要方法:
- 采用2008-2019年医疗支出小组调查数据进行的横截面研究.
- 参与者被分类为LEP移民,非LEP移民和美国出生的居民.
- 根据个人特征进行调整,以估计MA入学率.
主要成果:
- 移民的MA入学率高于美国出生的居民,LEP移民的入学率最高 (45.5%).
- 与健康状况不佳的人相比,自我报告健康的LEP移民的MA入学率更高 (45.4%),而健康状况不佳的人 (41.4%).
- 在非LEP移民或美国出生的居民中,没有观察到基于自我报告的健康状况的MA入学率的显著差异.
结论:
- 调查结果表明,移民中MA入学率较高,特别是LEP的移民中.
- 建议进一步调查医疗保险优势计划中移民的医疗保健经验.
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