患者在伊利诺伊州使用公共和私人堕胎保险的经验:实施成功和剩余的差距
Madeline Quasebarth1, Madeleine Boesche2, Tecora Turner3
1Ci3, Department of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois, USA.
Perspectives on sexual and reproductive health
|April 12, 2024
概括
堕胎护理的保险覆盖面大大降低了财务负担,并增强了患者的自主权. 伊利诺伊州的医疗补助公司 (Medicaid)
科学领域:
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 对堕胎服务的保险覆盖可以减轻财务障碍,改善获得护理的机会.
- 伊利诺伊州最近要求医疗补助和一些私人保险计划来支付堕胎服务.
研究的目的:
- 为了探索患者在伊利诺伊州早期堕胎护理的保险覆盖的经验.
- 了解保险政策实施对获得和自主性的影响.
主要方法:
- 定性研究涉及采访伊利诺伊州居民寻求早期堕胎护理 (≤11周).
- 采访还与参与计费,提供或政策实施的关键信息人进行了采访.
- 使用Dedoose软件对采访成绩单进行主题分析.
主要成果:
- 大多数伊利诺伊州的医疗补助领取者获得了完全的堕胎保险;许多拥有私人保险的人面临着保险缺口和困难.
- 由于隐私问题,一些患者避免使用保险.
- 完全覆盖导致财务压力降低,控制感增加;缺乏覆盖导致压力和决策限制.
结论:
- 堕胎的全部保险覆盖范围减少了财务负担,并增强了生殖自主权.
- 伊利诺伊州的医疗补助政策可以作为其他州的潜在模式.
- 需要进一步研究私人保险合规性和透明度.
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