并非所有医疗补助计划的孕妇护理都提供平等的服务
Jonas J Swartz1, Menolly Kaufman2,3, Maria I Rodriguez4
1Department of Obstetrics and Gynecology, Division of Women's Community and Population Health, Duke University School of Medicine, Durham, NC, United States of America.
PloS one
|April 3, 2024
概括
传统的医疗补助计划在怀孕期间提供了比怀孕医疗补助计划更好的门诊护理. 这种差异突出了怀孕前和产后医疗护理的差距,这表明需要扩大覆盖范围.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
背景情况:
- 医疗补助计划是美国孕妇医疗保险的主要来源.
- 有两个主要的资格类别:传统的医疗补助和怀孕医疗补助,覆盖时间和收入限制不同.
- 怀疑这些类别之间在门诊护理获取方面存在差异,特别是在怀孕前和分娩后的时期.
研究的目的:
- 调查传统医疗补助和怀孕医疗补助资格之间的联系,以及门诊护理的利用情况.
- 为了比较不同医疗补助类别的受益者在怀孕前,产前和产后期间的门诊访问频率.
主要方法:
- 追溯队列研究分析了来自俄勒冈州和南卡罗来纳州 (2014-2019) 的相关出生证明和医疗补助索赔数据.
- 包括两个州的医疗补助分娩,怀孕期间的医疗补助覆盖范围在分娩后60天结束.
- 主要结局:每100名受益者平均每月进行一次门诊访问,分别在三个产前期:怀孕前期,产前期和产后期.
主要成果:
- 该研究包括超过247,000名医疗补助计划覆盖的分娩.
- 在这两个州,怀孕医疗补助是最普遍的资格类别.
- 传统的医疗补助接收者显示,与怀孕的医疗补助接收者相比,怀孕前,产前和产后门诊访问的平均数量更高.
结论:
- 基于医疗补助类型的门诊护理获取存在显著差异,传统的医疗补助用户获得了更多的护理.
- 妊娠期间的有限覆盖期 医疗补助计划限制了获得关键的孕前和产后医疗保健服务的机会.
- 政策变化,如延长产后保险,可能会改善依赖医疗补助的孕妇的护理连续性.
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