在COVID-19大流行期间,根据残疾状况对产后保险和护理使用的变化
Erica L Eliason1, Meghan Bellerose1
1Department of Health Services, Policy & Practice, Brown University School of Public Health, 121 South Main St, Providence, RI, 02903, USA.
Disability and health journal
|January 17, 2024
概括
在COVID-19公共卫生紧急情况 (PHE) 期间,残疾人经历了改善的产后保险覆盖和避孕药的使用. 这些成果凸显了在修订产后医疗补助资格政策时考虑这些改进的重要性.
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
- 关于残疾人的研究.
背景情况:
- 残疾人遇到独特的健康需求和围产期护理的障碍.
- COVID-19 流行病可能加剧了现有的医疗保健准入差距.
- 疫情时代的医疗补助条款为保险覆盖和获得保险提供了潜在的改善.
研究的目的:
- 评估COVID-19公共卫生紧急情况 (PHE) 期间产后保险,访问和生殖健康护理的变化.
- 为了比较残疾人与无残疾人之间的这些变化.
- 评估PHE医疗补助条款对产后结果的影响.
主要方法:
- 利用了2019-2020年怀孕风险评估监测系统调查和残疾补充书.
- 雇员调整回归模型与残疾状况和PHE暴露的相互作用术语.
- 检查了低收入受访者和那些医疗补助支付分娩的受访者之间的比较差异.
主要成果:
- 与没有残疾的受访者相比,残疾受访者在产后医疗补助 (Medicaid) 显著增加 (+7.1%),无保险率下降 (-5.2%).
- 在PHE期间,残疾人中产后避孕措施的使用显著增加 (+6.3%).
- 低收入个人和那些医疗补助保险分娩的人在保险覆盖方面经历了类似的积极趋势.
结论:
- COVID-19 PHE导致产后保险增加,并改善了残疾人使用避孕药的情况.
- 这些差异性改进应该为有关产后医疗补助资格的政策决策提供信息,因为PHE条款被撤销.
- 维持这些收益需要仔细考虑PHE后的资格标准.
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