在阿片类药物治疗计划中引入医疗保险覆盖:前三年的研究结果
Amanda J Abraham1, Samantha J Harris2, Courtney R Yarbrough3
1University of Georgia, School of Public and International Affairs, Department of Public Administration and Policy, United States of America.
Journal of substance use and addiction treatment
|December 10, 2023
概括
阿片类药物治疗计划 (OTP) 越来越多地接受医疗保险,改善了获得阿片类药物使用障碍 (OUD) 治疗的机会. 然而,根据位置和受益人人口统计数据,发现了接受率的差异,这表明一些医疗保险受益人可能面临进入障碍.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
背景情况:
- 在2020年之前,医疗保险没有偿还阿片类药物治疗计划 (OTP) 的服务.
- 在OTP中用甲治疗阿片类药物使用障碍 (OUD) 治疗对于解决阿片类药物危机至关重要.
- 关于影响OTP接受医疗保险的因素的研究有限.
研究的目的:
- 评估OTP在新福利引入后的三年内接受医疗保险的比例.
- 确定与OTP接受医疗保险相关的组织和当地人口因素.
主要方法:
- 来自2021-2023年国家药物和酒精滥用治疗设施目录数据的分析.
- 后勤回归用于在4,630个OTP中识别与Medicare接受相关的特征.
主要成果:
- 到2022年,78.7%的OTP接受了医疗保险,比福利前的水平大幅增加.
- 营利性OTP和东北,中西部和南部地区的OTP的医疗保险接受率较低.
- 接受医疗补助/私人保险并位于有更多非西班牙裔白人医疗保险受益者地区的OTP显示,接受医疗保险的几率更高.
结论:
- OTPs对医疗保险的高度接受可能改善了OUD的医疗保险受益人的治疗机会.
- 在OTPs接受Medicare的地理和种族/种族差异表明潜在的获取不平等.
- 需要进一步的研究来解决发现的差异,并确保公平获得OUD治疗服务.
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