保险覆盖和处方药的使用中断:肯塔基州的证据
1Agency for Healthcare Research and Quality, Rockville, MD, USA.
Medical care research and review : MCRR
|December 8, 2023
概括
在26岁失去医疗保险显著减少了年轻人处方药的使用. 像Medicaid这样的公共保险计划有助于恢复治疗机会,并增加通用处方的使用.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 年轻的成年人经常经历保险覆盖的差距在父母计划的老化后.
- 了解处方药的使用对于管理慢性疾病和公共卫生至关重要.
- "负担得起的医疗法案"允许年轻人继续享受父母保险,直到26岁.
研究的目的:
- 调查保险覆盖中断对年轻成年人处方药购买的影响.
- 为了分析处方模式在26岁左右的变化,这是保险过渡的常见门.
- 评估公共保险在缓解处方药使用率下降方面的作用.
主要方法:
- 利用肯塔基州处方药监测计划 (2014-2018) 的数据.
- 采用回归不连续性设计,专注于26岁的保险截止期.
- 分析了联邦监管 (附表II-V) 药物的处方数据.
主要成果:
- 在26岁时,人们观察到处方购买概率下降了5%.
- 所有处方类别都受到保险缺口的影响.
- 通用处方的份额增加了,特别是在兴奋剂方面.
- 处方药的购买量在27岁时反弹,但公共保险和通用兴奋剂的使用仍然很高.
结论:
- 保险覆盖的中断减少了年轻人处方药的使用.
- 公共保险计划,如医疗补助,在维持治疗连续性方面发挥着至关重要的作用.
- 旨在持续保险覆盖的政策干预对于年轻人的健康结果至关重要.
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