现金福利对医疗保健利用和健康的影响:随机研究
Sumit D Agarwal1,2, Benjamin Lê Cook2,3, Jeffrey B Liebman4,5
1Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts.
JAMA
|July 22, 2024
概括
在低收入社区提供现金福利减少了急诊室的访问, 收入支持可以改善弱势群体的健康和医疗服务.
科学领域:
- 公共卫生
- 健康经济学
- 健康的社会决定因素
背景情况:
- 贫困对获得医疗保健构成重大障碍,导致健康状况恶化.
- 直接收入支持对健康利用和结果的影响仍未得到充分研究.
研究的目的:
- 调查无条件现金福利对医疗保健利用率和健康状况的影响.
- 评估收入支持是否可以缓解与贫困相关的健康差异.
主要方法:
- 一项随机对照试验在马萨诸塞州的切尔西进行,涉及每月获得现金福利的个人.
- 通过多个医疗系统的医疗记录来跟踪参与者的医疗保健使用情况.
- 结果包括紧急部门的访问,门诊使用,COVID-19疫苗接种和生物标志物.
主要成果:
- 现金福利的受益者在紧急诊所的总数显著减少 (每1000人中有87.0人).
- 对行为健康和物质使用的急诊室访问和住院患者的减少.
- 特别是在没有个人交通工具的患者中,人们注意到门诊小专科护理的使用率增加.
结论:
- 直接收入支持,如现金福利,可以减少急诊室的使用,并改善专业门诊护理的机会.
- 旨在通过收入支持减轻贫困的政策可能会大大改善人口的健康状况和获得医疗保健的机会.
- 需要进一步研究收入支持计划的长期健康影响和成本效益.
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