在美国的过敏科医生中,医疗补助接受的地理变异性
Frances O Ho, Chaoyi Zheng, Mech Frazier
1Center for Food Allergy and Asthma Research, Northwestern University Feinberg School of Medicine, 750 N Lake Shore Dr, Floor 6, Room 676, Chicago, IL 60611.
The American journal of managed care
|August 15, 2024
概括
过敏学家接受医疗补助的情况因州而异,影响到过敏治疗的机会. 只有贫困率与更高的接受率有关,这突出了寻求过敏治疗的弱势群体的障碍.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 医疗保健服务研究 医疗服务研究
- 地理空间健康
背景情况:
- 获得过敏护理对于管理普遍的形疾病至关重要,特别是在儿童中.
- 寻找接受医疗补助等保险的提供者是医疗保健的重要障碍.
- 在美国,获得医疗保健的地理差异越来越令人担忧.
研究的目的:
- 调查全国各地过敏症专家中医疗补助接受率的地理变异性.
- 确定与过敏学家接受医疗补助患者相关的人口因素.
- 了解这些差异对患者获得过敏护理的影响.
主要方法:
- 利用国家计划和提供者计数系统来识别过敏症患者.
- 采用地理空间分析 (经验贝叶斯战争) 来绘制医疗补助的接受情况.
- 进行多变量后勤回归以确定县级接受预测因素.
主要成果:
- 接受调查的过敏学家中有55.5%接受医疗补助,州级的接受率从13%到90%不等.
- 在华盛顿,亚利桑那州和东北地区观察到预测最低的医疗补助接受率.
- 只有贫困人口的百分比与过敏症患者接受医疗补助的可能性更高显著相关 (OR, 1.245).
结论:
- 在过敏学家接受医疗补助方面存在显著的地理差异,造成了进入障碍.
- 这种变化可能会影响患有无形性疾病的儿童的健康结果.
- 可能需要有针对性的干预措施来改善Medicaid受益人获得过敏治疗的平等机会.
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