社会脆弱性指数对医疗保险受益人的支出的影响
Ramzi Ibrahim1, Lifeng Lin2, Enkhtsogt Sainbayar1
1Department of Medicine, University of Arizona Tucson, Tucson, AZ, USA.
概括
社会脆弱性对医疗保险受益者的医疗保健成本产生了重大影响,特别是增加了平均提交费用. 这突显了社会决定因素对医疗保健支出的影响,并要求进一步调查这些差异.
科学领域:
- 卫生经济学 卫生经济学
- 健康的社会决定因素
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保险受益人的医疗保健支出呈现出显著的区域差异.
- 影响这些变化的因素包括医疗资源的可用性和机构效率.
- 社会脆弱性在医疗保健成本中的作用仍然是一个需要更深入探索的领域.
研究的目的:
- 调查社会脆弱性指数 (SVI) 与医疗保健费用在医疗保险受益者之间的关联.
- 确定社会脆弱性是否预测了提交费用,总支付或住院时间的变化.
- 了解社会决定因素如何影响医疗保险人口的医疗保健支出.
主要方法:
- 多变量回归分析是对医疗保险受益人从住院预期支付系统医院出院的数据进行的.
- 社会脆弱性指数 (SVI) 被用作一个关键的独立变量.
- 分析包括对人口统计学 (年龄,种族/族裔) 和等级状况类别风险得分的共同变量调整,加权回归.
主要成果:
- 在未调整的 (β=0.50,p<0.001) 和调整的模型 (β=0.25,p=0.039) 中,提交的平均覆盖费用显示出与SVI的显著正相关性.
- SVI与总支付金额没有显著的关联 (经调整的β=-0.07,p=0.238).
- 在SVI和离院后的总覆盖日之间没有发现显著的关联 (调整后β=0.00,p=0.953).
结论:
- 根据SVI测量,社会脆弱性与医疗保险受益人平均提交的医疗费用增加有显著的关联.
- 医疗保险受益者之间的区域医疗保健支出差异受社会脆弱程度的影响.
- 进一步的研究是必不可少的,以充分阐明健康和医疗保健成本的社会决定因素之间的复杂相互作用.
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