医疗保险和美国婴儿死亡率的差异
Desalyn L Johnson1, Waldemar A Carlo2, A K M Fazlur Rahman3
1University of Alabama School of Medicine, University of Alabama at Birmingham, Birmingham.
与美国的医疗补助相比,孕产妇私人保险与较低的婴儿死亡率有关. 这项研究强调了根据保险类型的婴儿结果的差异,强调需要改善医疗补助计划的母亲和婴儿的护理机会.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保险对医疗保健的获取和结果产生重大影响.
- 产妇保险类型可能会影响美国婴儿健康状况.
研究的目的:
- 为了比较婴儿死亡率 (IMR) 与美国私人保险和公共医疗补助保险的母亲生下的婴儿.
主要方法:
- 一项利用2017-2020年CDC相关出生和婴儿死亡记录的队列研究.
- 包括私人或医疗补助保险的医院出生的婴儿 (20-42周怀孕).
- 排除了具有先天性异常或缺少支付数据的婴儿.
主要成果:
- 拥有私人保险的母亲的婴儿的IMR (2.75/1000) 比获得医疗补助 (5.30/1000) 的婴儿低,调整后的相对风险 (aRR) 为0.81.
- 私人保险与新生儿后死亡率,低出生体重,阴道产和早产的风险较低有关.
- 拥有私人保险的母亲在第一季度获得产前护理的可能性更高.
结论:
- 孕产妇医疗补助保险与美国人口层面的婴儿死亡率风险增加有关.
- 新的策略对于提高医疗补助计划所涵盖的妇女和婴儿的护理准入和质量至关重要.
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