大多数州的医疗补助计划都涵盖成人常规眼科检查,但其他常规视力服务的覆盖范围各不相同
Brandy J Lipton1, Jenna Garcia2, Michel H Boudreaux3
1Brandy J. Lipton (blipton@uci.edu), University of California Irvine, Irvine, California.
Health affairs (Project Hope)
|August 5, 2024
概括
数以百万计的成年人面临视力障碍,但许多人无法获得必要的眼科护理. 国家医疗补助政策显示,眼镜和低视力辅助器件的覆盖范围存在重大差距,阻碍了对视力服务的获取.
科学领域:
- 公共卫生 公共卫生
- 眼科医生 眼科 眼科
- 卫生政策 卫生政策
背景情况:
- 超过1200万40岁以上的美国成年人患有视力障碍,预计到2050年这一数字将翻一番.
- 虽然校正镜片通常可以解决视力障碍,但对许多成年人来说,获得常规眼睛护理仍然是一个重大障碍.
- 国家级医疗保健政策的变化会影响至关重要的视觉服务的可访问性.
研究的目的:
- 分析2022年各州的医疗补助政策,关于成人视力服务.
- 为了确定日常眼科检查,眼镜和低视力辅助器件的覆盖范围上的差异.
- 为了估计缺乏全面视力覆盖的成年医疗补助计划注册人数.
主要方法:
- 对2022年具体州医疗补助政策的详细分析.
- 对于例行眼科检查,眼镜和低视力辅助器件的覆盖范围变化的文件.
- 居住在视力护理覆盖范围不足的州的成年医疗补助入学者的估计.
主要成果:
- 大多数收费医疗补助计划都包括例行眼科检查,但20个州没有眼镜,35个州没有低视力辅助器.
- 大约三分之二的提供常规眼科检查的州要求招生者分享费用.
- 托管护理计划通常提供一致的或比收费服务更好的覆盖范围,尽管在各州之间存在差异.
- 据估计,大约650万和1460万成年入学者分别生活在缺乏眼科检查和眼镜全面覆盖的州.
结论:
- 美国各州对成年人视力服务的医疗补助覆盖范围存在重大差距.
- 政策变化为获得基本视力护理造成了障碍,包括校正镜片和低视力辅助器.
- 州有机会加强医疗补助政策,以改善获得常规视力护理的机会,并减少视力障碍.
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