国家医疗补助计划对堕胎的覆盖范围对在三个州获得护理的人的影响
Susan K R Heil1, Koray Caglayan1, Graciela Castillo1
1American Institutes for Research®, Health Program, Crystal City, Virginia, USA.
Perspectives on sexual and reproductive health
|July 29, 2024
概括
国家医疗补助计划对堕胎的覆盖改善了获得和负担能力,特别是对于有色人种. 然而,如果停止这种覆盖,就会大大减少对边缘化群体的接入,增加边缘化群体的成本.
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
- 卫生经济学 卫生经济学
背景情况:
- 医疗补助计划是生殖健康服务的主要支付人,对低收入个人和有色人种有重大影响.
- 虽然联邦资金排除了堕胎,但16个州允许州医疗补助计划 (Medicaid) 支付堕胎服务.
- 最近伊利诺伊州,缅因州和西弗吉尼亚州关于医疗补助堕胎覆盖的政策转变提供了一个独特的学习机会.
研究的目的:
- 评估国家医疗补助计划堕胎覆盖实施和终止对堕胎准入和患者成本的影响.
- 评估不同医疗补助政策下的与种族和收入相关的堕胎准入差异.
主要方法:
- 对伊利诺伊州,缅因州和西弗吉尼亚州诊所的程序和患者级数据的回顾性分析.
- 使用中断时间序列设计和多变量回归模型.
- 检查了堕胎手术量和患者自付费用的变化.
主要成果:
- 在缅因州和伊利诺伊州实施医疗补助计划增加了堕胎的机会,并降低了患者成本 (分别减少了36%和44%).
- 覆盖范围的扩大改善了这些州有色人种的访问.
- 在西弗吉尼亚州停止覆盖导致减少接入,患者费用增加了130%,有色人种的接入减少.
结论:
- 覆盖堕胎的州医疗补助政策可以减轻结构性不平等,并改善弱势群体的获得.
- 停止医疗补助计划的堕胎保险对经济上边缘化的个人造成了不成比例的负担.
- 这些发现在当前堕胎机会分散的环境中至关重要.
更多相关视频
05:25Preclinical Model of Prenatal Delta-9-Tetrahydrocannabinol Exposure to Assess Its Impact on Neurodevelopmental Outcomes
Published on: February 28, 2025
182
09:04Comprehensive Evaluation of the Effectiveness and Safety of Placenta-Targeted Drug Delivery Using Three Complementary Methods
Published on: September 10, 2018
9.7K
相关概念视频
Standards of Care I
670
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
670
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Standards of Care II
638
Nurses bear specific legal responsibilities under several federal statutes, including:
638
Introduction To Health Care Delivery System
2.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K
Ethical Dilemmas I
869
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
869
