医疗保险,医疗补助以及智力和发育障碍的成年人双重入学
Eric Rubenstein1, Salina Tewolde1, A Alex Levine2
1Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA.
Health services research
|January 24, 2024
概括
智力和发育障碍的成年人显示出不同的公共保险入学率. 了解这些模式是确保所有残疾人平等获得医疗保健的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 关于残疾人的研究.
背景情况:
- 在残疾人中,高失业率迫使人们依赖医疗补助和医疗保险来获得医疗保健.
- 许多残疾成年人在65岁之前有资格获得医疗保险,但没有充分了解入学模式.
研究的目的:
- 描述2019年智力和发育障碍的成年人的医疗保险入学时间.
- 为了比较仅限医疗保险,仅限医疗补助和双重入学群体的人口统计数据.
- 检查唐氏综合征患者的州级招生变化和差异.
主要方法:
- 对2019年美国成年人 (≥18岁) 智力障碍,唐氏综合征或自闭症的医疗保险和医疗补助索赔数据的分析.
- 利用了来自转换的医疗补助统计信息系统分析文件和医疗保险受益人总结文件的数据.
- 雇佣了一个行政索赔队列研究设计.
主要成果:
- 2019年,医疗保险覆盖了582,868名患有智力障碍,自闭症或唐氏综合征的成年人;149,172人仅接受医疗保险,433,396人双重注册.
- 只有医疗补助计划的入学者比双入学者更年轻,不太可能是白人非西班牙裔,并且比双入学者更有可能是西班牙裔.
- 在公共保险入学方面观察到显著的异质性,因州和残疾类型而异.
结论:
- 在智力和发育障碍的成年人中,公共保险的入学是多样化的,受地理位置和特定残疾的影响.
- 需要采取进一步行动,以保证全面的保险覆盖,以适应所有残疾人的医疗保健需求.
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