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在夏威夷,根据保险类型获得皮肤科医生预约
Amity Tran1, Emily Leibovitch2, Michelle Stafford3
1Internal Medicine, University of Hawai'i at Mānoa, John A. Burns School of Medicine, Honolulu, USA.
Cureus
|September 11, 2024
概括
夏威夷的医疗补助受益者在获得皮肤病护理时面临重大障碍. 一项秘密购物者研究发现,Medicaid患者只被34%的皮肤病诊所接受,远低于私人保险或医疗保险.
科学领域:
- 皮肤病学 皮肤病学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在全国范围内,医疗补助受益者报告说,获得皮肤病治疗是有挑战的.
- 关于夏威夷的医疗补助受益人获得皮肤病护理的障碍,数据有限.
研究的目的:
- 调查夏威夷的医疗补助受益人获得皮肤病护理的障碍.
- 为了比较医疗补助,医疗保险和私人保险患者之间的预约接受率和等待时间.
主要方法:
- 采用了一个秘密购物者研究设计.
- 他们联系了夏威夷的46家皮肤病诊所.
- 对不同类型的保险记录了预约接受率和等待时间.
主要成果:
- 只有34%的办公室接受新的医疗补助患者,明显低于私人保险 (95%) 和医疗保险 (93%).
- 与邻近岛屿 (55%) 相比,奥阿胡岛的医疗补助接受率较低 (27%) ,尽管在统计学上并不显著.
- 在保险类型或地理位置之间没有观察到平均等待时间的显著差异.
结论:
- 与那些拥有私人保险或医疗保险的人相比,夏威夷的医疗补助受益人可能面临着获得皮肤病治疗的重大困难.
- 调查结果突出了夏威夷医疗保健系统内皮肤病治疗机会的潜在差异.
- 需要进一步的研究来探索这些进入障碍背后的原因,并制定有针对性的干预措施.
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