患者的保险类型与预防性服务交付的关联
Cuneyt Ozkardes1, Jeffrey Harman PhD2
1Research, Florida State University College of Medicine, Tallahassee, USA.
Cureus
|October 11, 2023
概括
与私人保险相比,医疗补助或没有保险的患者提供预防性医疗保健服务的可能性较低. 访问时间较短可能会导致预防性护理提供的差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 预防医学 预防医学
- 健康 公平 卫生 公平
背景情况:
- 预防性服务可以减少慢性疾病的负担,但发病率低于最佳水平.
- 医疗保健获取和质量的差异仍然存在,特别是在保险类型方面.
研究的目的:
- 调查患者保险类型与提供预防性服务之间的关联.
- 为了检查办公室访问的持续时间如何因保险类型而异.
主要方法:
- 使用国家门诊医疗调查 (NAMCS) 数据 (2011-2016,2018) 的综合数据进行的回顾性观察队列研究.
- 多变量后勤回归分析了按保险类型分别获得预防服务 (USPSTF A/B等级) 的几率.
- 在保险类别中比较办公室访问的平均持续时间.
主要成果:
- 与私人保险相比,医疗补助患者接受子宫癌 (47%) 和戒烟 (31%) 查的几率较低.
- 没有保险的患者血压 (43%) 和宫癌 (62%) 查的几率明显较低.
- 与私人保险患者相比,医疗补助 (2.68分钟) 和无保险 (1.97分钟) 患者的办公室访问时间更短.
结论:
- 患者保险类型与提供基本预防性服务有很大关系.
- 对于非私人保险集团来说,更短的访问时间可能会阻碍预防性护理.
- 确保平等地获得预防服务,不论是否有保险,对于预防慢性疾病至关重要.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
447
相关概念视频
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Introduction To Health Care Delivery System
2.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.8K
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Levels of Health Promotion and Illness Prevention
12.7K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.7K
