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眼镜保险覆盖对在加拿大安大略省使用眼科服务提供者的影响
Jeeventh Kaur1, James Im2, Yvonne Buys3
1Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
概括
眼镜保险在安大略省显著增加了眼科医生 (ECP) 的使用率. 即使对于那些有资格参加政府资助的考试的人来说,缺乏保险也会减少ECP访问.
科学领域:
- 公共卫生 公共卫生
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在安大略省的例行眼科检查需要光学家或眼科医生 (ECP).
- 2004年,政府对20至64岁的安大略省居民进行常规眼科检查的资助被取消.
- 目检覆盖范围仍然是19岁及以下,65岁及以上的人.
研究的目的:
- 评估眼镜保险对安大略省眼睛护理服务提供商 (ECP) 的使用的影响.
- 确定眼镜保险是否影响不同年龄组和保险资格状况的ECP访问.
主要方法:
- 采用了横截面调查设计.
- 分析了来自加拿大社区健康调查 (2003年,2005年,2013/2014年) 的12岁及以上安大略省居民 (不包括糖尿病患者) 的数据.
- 基于眼镜保险状况 (雇主,政府,私人) 和政府资助的眼科检查资格,比较了ECP的使用情况.
主要成果:
- 在所有调查年份和年龄组中,安大略省拥有眼镜保险的人员使用ECP的比例显著提高.
- 这种影响在政府资助取消后,在20-64岁的年龄组中尤其明显 (例如,2013/2014年40-64岁的年龄组为43.4%而不是32.9%).
- 调整后的分析显示,那些拥有眼镜保险的人更有可能访问ECP (所有年龄段的aPR为1.26,20-64的aPR为1.41).
结论:
- 眼镜保险的缺失对眼睛护理提供者 (ECP) 的使用产生了负面影响.
- 这种影响甚至在那些有资格接受政府资助的眼科检查的人群中仍然存在,这表明成本障碍超出了直接检查覆盖范围.
- 针对眼镜保险的政策可能对改善安大略省整体眼睛护理的准入至关重要.
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