医疗补助政策变化和分娩后立即的长效可逆避孕
Maria I Rodriguez1, Thomas H A Meath2, Kelsey Watson2
1Center for Reproductive Health Equity, Obstetrics & Gynecology, Oregon Health & Science University, Portland.
JAMA health forum
|June 7, 2024
概括
改变医疗补助账单政策增加了产后立即使用长效可逆避孕药 (LARC). 这一战略改善了医疗补助计划的注册人获得产后避孕方法的机会.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 卫生政策 卫生政策
背景情况:
- 改善产后避孕措施的获取是优先事项,特别是对于医疗补助计划的受益人来说.
- 在医院出院前提供方法是关键策略.
- 2016年医疗补助政策的变化旨在促进产后立即 (IPP) 长效可逆避孕药 (LARC) 的使用.
研究的目的:
- 评估修订后的医疗补助账单政策对IPP LARC的使用的影响.
- 为了确定LARC设备的单独报销是否会影响产后避孕方法的选择.
主要方法:
- 一项队列研究分析了从2016年到2019年在15个州的产后医疗补助计划接受者的数据 (9个治疗,6个比较).
- 主要结果是使用IPP LARC.
- 数据分析发生在2023年8月至2024年1月之间.
主要成果:
- 这项研究包括了超过130万个为医疗补助计划注册的分娩经历.
- IPP LARC的计费政策与IPP LARC立即收款的0.74个百分点的增加有关.
- 在产后60天内,LARC使用的总体显著增加1.48个百分点.
结论:
- 修改医疗补助账单政策,允许对LARC设备进行单独的报销,与IPP LARC利用率的增加有关.
- 这种政策变化可能会有效地提高获得广泛的产后避孕选择的机会.
- 这些发现表明,在医疗补助人口中改善产后避孕措施的可行策略.
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