慢性疼痛与健康保险类型之间的相互关联在基于人口的纵向队列研究中
Karen Semaan1, Adrianne Frech2, Dmitry Tumin3
1Brody School of Medicine at East Carolina University, Greenville, North Carolina.
The journal of pain
|March 5, 2024
概括
慢性疼痛与公共和非私人医疗保险有关. 拥有这些保险类型的成年人面临更高的慢性疼痛风险,慢性疼痛增加了对非私人保险的依赖.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 慢性疼痛显著影响美国的日常活动和劳动力参与.
- 医疗保险覆盖对于获得慢性疾病诊断和管理至关重要.
- 由于慢性疼痛而撤出的劳动力可能会导致医疗保险的损失.
研究的目的:
- 调查慢性疼痛和医疗保险 (任何类型) 两年间在美国中年成年人中的相互关联.
- 要确定慢性疼痛是否预测未来的保险类型,以及保险类型是否预测未来的慢性疼痛.
- 了解社会经济因素与慢性疼痛管理之间的复杂关系.
主要方法:
- 纵向队列研究设计,共5137名中年参与者.
- 2018年和2020年收集的数据.
- 多变量交叉滞后后勤回归分析,以评估慢性疼痛和保险覆盖之间的关联.
主要成果:
- 在慢性疼痛和两年多的保险覆盖率之间没有发现任何关联.
- 2018年公共,其他非私人或没有保险预测2020年慢性疼痛风险增加.
- 2018年慢性疼痛预测2020年公共或其他非私人保险覆盖的风险增加.
结论:
- 医疗保险覆盖的类型对于预测美国人口的慢性疼痛至关重要.
- 非私人保险和慢性疼痛之间存在相互关联,可能是由于治疗机会或残疾资格.
- 公共和其他非私人保险预测未来的慢性疼痛,慢性疼痛预测未来使用这些保险类型.
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