根据种族和种族的结果,医疗保险为关节置换提供捆绑支付计划
Narae Kim1, Mireille Jacobson1,2
1Leonard Davis School of Gerontology, University of Southern California, Los Angeles.
JAMA network open
|September 17, 2024
概括
关节置换综合护理 (CJR) 计划增加了传统医疗保险之外的患者的家庭出院率. 与非西班牙裔白人患者相比,西班牙裔患者的这种改善更大,突出了捆绑支付结果中的种族差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 健康差异 在健康上的差异
背景情况:
- 关节置换综合护理 (CJR) 模式是一个医疗保险捆绑支付计划,用于下肢关节置换.
- 它对传统医疗保险以外的患者的影响,特别是关于种族和种族差异的影响,仍然不清楚.
研究的目的:
- 评估CJR模型对非传统医疗保险注册的西班牙裔患者的结果.
- 评估CJR模型的结果是否因非传统医疗保险覆盖范围的患者的种族和种族而异.
主要方法:
- 一项队列研究分析了2014年1月1日至2017年12月31日的加州住院数据.
- 将参与CJR的大都市统计区 (MSA) 的患者与使用差异差异和三倍差异模型的非参与MSA的患者进行了比较.
- 根据种族和种族,检查住院时间和家庭出院率.
主要成果:
- 在没有传统医疗保险的患者中,CJR计划与家庭出院率的增加有关.
- 与非西班牙裔白人患者相比,西班牙裔患者 (医疗保险优势和非医疗保险) 的家庭出院率增加得更为显著.
- 基于种族或种族,没有观察到住院时间的显著差异.
结论:
- 对于非传统医疗保险覆盖的患者,CJR计划的结果因种族和种族而异.
- 家庭出院率在西班牙裔患者中比非西班牙裔白人患者增加得更大.
- 研究结果强调,需要考虑医疗保险支付政策对不同患者群体的差异性影响.
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