医院假定资格 紧急医疗补助计划:持续保险覆盖的机会?
Lisa Marie Knowlton1,2, Katherine Arnow2, Amber W Trickey2
1Department of Surgery, Stanford University School of Medicine, Stanford, CA.
医院假设资格 (HPE) 帮助没有保险的患者获得医疗补助保险. 超过64%的HPE接受者在六个月内注册了医疗补助,特别是那些需要手术或持续护理的人.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 缺乏医疗保险是一个重要的公共卫生问题,导致护理延迟和经济困难.
- 医院假设资格 (HPE) 为没有保险的医院患者提供临时紧急医疗保险.
- HPE在促进长期医疗补助入学方面的有效性尚不清楚.
研究的目的:
- 评估医疗补助入学率 在HPE启动6个月后.
- 确定与HPE受益人成功注册医疗补助计划相关的因素.
主要方法:
- 一项队列研究分析了加利福尼亚州卫生保健服务部的索赔数据.
- 包括2016-2017年间在加利福尼亚州获得HPE批准的住院患者.
- 多变量后勤回归模型确定了6个月内医疗补助入学的预测因素.
主要成果:
- 71,335名HPE受益人的64.2%在6个月内加入医疗补助计划.
- 医疗补助计划的招生因县而异 (33%-100%).
- 西班牙语优先语言患者的入学几率较低 (aOR 0.77);手术干预和出院到护理机构的几率增加.
结论:
- 在加利福尼亚州,HPE通常与成功的医疗补助入学在6个月内有关.
- 需要手术或持续护理的患者更有可能获得医疗补助入学.
- 进一步的研究应该探索HPE对医疗保健利用和金融稳定性的影响.
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