美国枪支伤害的财务负担和结果. 医院,2003年至2020年 医院
Gozienna Okeke1, Mahrukh Sana2, Erfan Faridmoayer3
1Harpur College of Arts and Sciences, State University of New York Binghamton University, Binghamton, New York.
与枪支相关的伤害成本大幅上升,特别是在医疗补助患者身上. 这些不断增加的成本不成比例地负担着弱势群体和安全网医院.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 创伤外科 手术 创伤外科
背景情况:
- 与枪支相关的伤害 (FRI) 是一个重大且可预防的公共卫生危机.
- 了解FRI的财务负担对于资源分配和政策制定至关重要.
研究的目的:
- 分析与枪支相关的伤害相关的住院费用.
- 将这些成本按患者保险支付者的类型和医院安全网组合进行分层.
主要方法:
- 使用国家住院样本 (NIS) 数据库从2003年到2020年.
- 使用国际疾病分类 (ICD) 诊断代码识别的FRI.
- 雇佣混合效应概括线性回归以建模通货膨胀调整后的住院费用,考虑医院一级的变化.
主要成果:
- 对FRIs的通货膨胀调整后的住院医疗费用总额超过了152亿美元.
- 医疗补助和自付患者的费用负担最大 (分别为62亿美元和50亿美元).
- 自2014年以来,自费/无费患者的FRI发病率下降,但在医疗补助患者中增加,导致医疗补助成本增加127%. 安全网医院的成本也上升了.
结论:
- 自2003年以来,与枪支相关的伤害的发生率和相关的医疗保健费用在医疗补助保险人群中大幅增加.
- 这些不断上升的成本给弱势患者群体和安全网医疗机构带来了不成比例的财务压力.
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