使用招生记录来评估自我报告的每月覆盖范围在重新设计的当前人口调查医疗保险模块的健康保险
Joanne Pascale1, Angela R Fertig2, Kathleen Thiede Call3
1Research and Methodology Directorate, U.S. Census Bureau, Washington, DC, USA.
在当前人口调查年度社会和经济补充 (CPS) 中,关于月度医疗保险覆盖的自我报告非常准确. 这一发现支持CPS作为一个有价值的数据源来跟踪覆盖率动态,如医疗补助的解开.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 调查方法 调查方法
- 卫生经济学 卫生经济学
背景情况:
- 准确测量医疗保险覆盖率对于政策评估和了解健康差异至关重要.
- 当前人口调查年度社会经济补充 (CPS) 是医疗保险数据的主要来源,但其在月度水平上的准确性尚未完全确定.
研究的目的:
- 评估CPS收集的自我报告的月度健康保险覆盖率数据的准确性.
- 为了比较CPS自我报告与来自大型医疗保险公司的客观入学记录.
主要方法:
- 该CHIME (医疗保险测量误差的比较) 研究使用了中西部医疗保险公司的入学记录.
- 一个具有不同保险类型 (医疗补助,市场,私人) 的个人样本完成了CPS健康保险模块.
- 调查答案与17-18个月的入学记录相匹配,以评估对应性.
主要成果:
- 总体而言,91%的样本准确地报告了至少75%的观察月份的覆盖状态和类型.
- 连续覆盖的个体 (94%) 的准确性最高,覆盖变化或缺口 (82-87%) 的个体略低.
结论:
- 在CPS中,自我报告的月度健康保险覆盖率显示出高准确性.
- 医疗保险局是一个潜在的有价值的数据来源,用于分析覆盖范围的动态,包括医疗补助退休过程的影响.
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