保险障碍和医疗保健准入方面的不平等:双重实践的证据
Eva Goetjes1, Katharina E Blankart2,3,4
1CINCH Health Economics Research Center, University of Duisburg-Essen, Berliner Platz 6-8, 45127, Essen, Germany. eva.goetjes@uni-due.de.
Health economics review
|March 21, 2024
概括
在德国,拥有私人医疗保险的患者可以接受不那么复杂的抗糖尿病治疗. 医生实践的组成显著影响2型糖尿病患者的治疗机会,特别是在混合保险实践中.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 糖尿病 护理 糖尿病 护理
背景情况:
- 调查了德国2型糖尿病患者在药品护理方面的差异.
- 专注于公共和私人医疗保险制度之间的差异.
- 检查实践组成对治疗准入的影响.
研究的目的:
- 确定私人医疗保险是否提高了获得抗糖尿病护理的机会.
- 分析实践构成对公共和私人患者治疗的影响.
- 了解医生行为如何影响治疗差异.
主要方法:
- 利用固定效应回归模型来分析治疗选择.
- 采用来自681名医生的处方小组的数据.
- 包括68,362名接受抗糖尿病治疗的患者.
主要成果:
- 私人保险患者接受不那么复杂的治疗的可能性增加了10%.
- 医生实践的组成显著影响了治疗的复杂性.
- 在具有平均区域保险构成的实践中,差异最为明显.
结论:
- 医生在门诊护理中战略性地导航各种保险计划.
- 这种导航影响患者获得创新的抗糖尿病治疗.
- 调查结果强调了糖尿病护理获得的保险差异.
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