出生与医疗债务的关联
Michelle H Moniz1, Molly J Stout, Giselle E Kolenic
1Department of Obstetrics and Gynecology, the Department of Pediatrics, the Department of Surgery, the Department of Economics, and the Division of General Medicine, University of Michigan, Ann Arbor, Michigan.
Obstetrics and gynecology
|September 28, 2023
概括
产后增加了医疗债务的可能性,特别是在分娩后和低收入社区的人群中. 高昂的周边成本有助于这种财政困难.
科学领域:
- 卫生经济学 卫生经济学
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
背景情况:
- 医疗收款债务对许多家庭来说是一个巨大的经济负担.
- 产后医疗费用可能很高,即使是那些有商业保险的人.
研究的目的:
- 评估收款中分娩和医疗债务之间的关联.
- 根据社区的社会经济地位,研究医疗债务的差异.
主要方法:
- 对全州范围内的商业保险孕妇和产后成年人队列的分析.
- 在怀孕和产后个人之间收集医疗债务的可能性的比较.
- 评估不同社区社会经济层面的债务普遍性.
主要成果:
- 产后患者比孕妇更有可能有医疗债务 (aOR 1.36).
- 低收入社区的个人债务的可能性明显更高 (aOR 2.18).
- 从最低收入社区 (28.9%) 的产后人群中观察到最高的债务概率.
结论:
- 目前的周边自费医疗保健费用超过了许多商业保险家庭的负担能力.
- 医疗债务积累在周边期期间突出显示了财务压力.
- 减少母婴医疗保健支出的政策干预是必要的,以改善出生公平并减轻经济困难.
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