医疗补助再平衡的结果可能在招生人群之间有所不同
Jordan M Harrison1, Esther M Friedman2, Sarah Edgington3
1RAND, Pittsburgh, PA, USA.
概括
医疗补助公司 (Medicaid) 的医疗补助.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 家庭和社区服务 (HCBS) 对于延迟老年人的养老院过渡至关重要.
- 医疗补助平衡激励计划 (BIP) 旨在在全国范围内扩大HCBS接入.
- 了解这些计划对长期制度化的影响对于医疗保健政策至关重要.
研究的目的:
- 评估医疗补助平衡激励计划 (BIP) 暴露与长期制度化 (LTI) 时间之间的关系.
- 调查65岁及以上的双重医疗保险和医疗补助计划注册人群中,BIP暴露对人口群体的潜在差异性影响.
主要方法:
- 利用了来自医疗保险当前受益者调查和最低数据集 (2008-2019) 的纵向数据.
- 雇佣生存建模来分析长期制度化 (90天以上的养老院住宿) 的时间.
- 对于居住在BIP参与国和非参与国的个人来说,比较结果.
主要成果:
- 总的来说,在主要影响模型中,BIP暴露与长期制度化的危险没有显著的关联.
- 相互作用分析显示,BIP暴露与西班牙裔/拉丁裔入学者中LTI风险降低有关.
- 相反,BIP暴露与非西班牙裔白人入学者中LTI风险增加有关.
结论:
- 像BIP这样的医疗补助再平衡举措,在不同注册人群中可能会产生异质的结果.
- 有针对性的策略可能是必要的,以确保公平的访问和HCBS扩展计划的好处.
- 需要进一步的研究,以了解推动这些分组差异的制度化风险的机制.
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