美国药物堕胎的定价,2021-2023年
Ushma D Upadhyay1, Rosalyn Schroeder1, Shelly Kaller1
1Advancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California, USA.
Perspectives on sexual and reproductive health
|July 3, 2024
概括
远程医疗药物堕胎比面对面的护理便宜得多. 然而,有限的保险覆盖和国家限制仍然可以使许多人无法负担和无法获得这种必要的生殖健康保健.
科学领域:
- 生殖健康 生殖健康
- 医疗保健经济学 医疗保健经济学
背景情况:
- 财政成本是堕胎获得的主要障碍.
- 药物流产可以通过面对面和远程医疗服务获得.
- 远程医疗对药物堕胎的成本效益需要进一步的文件.
研究的目的:
- 为了比较通过面对面的设施提供的药物堕胎的自付费用与远程医疗服务.
- 分析2021年至2023年的成本趋势.
- 检查州医疗补助政策对药物堕胎成本的影响.
主要方法:
- 使用了"生殖健康新标准" (ANSIRH) 堕胎设施数据库.
- 分析了2021年,2022年和2023年的药物堕胎的自付费用.
- 面对面和远程医疗 (虚拟诊所) 之间的成本比较,并按州医疗补助计划覆盖范围进行比较.
主要成果:
- 药物堕胎的国家中位数价格保持稳定 (2021年为568美元,2023年为563美元).
- 虚拟诊所提供的价格明显较低 (2021年为239美元,2023年为150美元),而非面对面的护理 (2021年为580美元,2023年为600美元).
- 很少有虚拟诊所 (7%) 接受医疗补助计划,医疗补助计划覆盖的州的价格更高.
结论:
- 通过虚拟诊所,远程医疗药物堕胎的价格要便宜得多.
- 缺乏保险覆盖和国家一级的远程医疗禁令可能会造成成本高昂的障碍,并加深医疗保健不平等.
- 需要进一步的研究来解决成本障碍,并改善公平获得远程医疗堕胎服务.
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