什么时候一个网络是足够的? 消费者对网络充足性定义的看法
1Department of Health Policy and Management, Texas A&M University, 4226 Wallaceshire Ct, College Station, TX 77845.
The American journal of managed care
|September 20, 2024
概括
消费者希望对医疗保险网络充足性的定义更广泛,而不仅仅是提供者号码和旅行距离. 它们支持文化能力和包容性护理等因素,表明需要更公平的医疗保健准入.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 消费者健康偏好 消费者健康偏好
- 健康 公平 卫生 公平
背景情况:
- 管理护理安排在美国医疗保险中很普遍.
- 网络充足性条例旨在确保患者获得护理.
- 在网络充足性讨论中,消费者观点基本上缺席.
研究的目的:
- 评估美国成年消费者对网络充足性定义的偏好.
- 评估对促进健康公平和减少差异的定义的支持.
- 这项研究是首次探讨消费者对网络充足性的看法.
主要方法:
- 在4008名美国成年人中进行了一项大型,多样化的调查.
- 受访者被问及他们对充足的供应商网络的抽象看法.
- 分析使用了普通最小平方回归与调查权重和t测试.
主要成果:
- 消费者强烈支持标准的充足性措施 (供应商号码,行程距离).
- 大多数人赞成扩大定义,包括公共交通,文化能力和LGBT+包容性护理.
- 人口和经验因素影响了对更广泛定义的支持.
结论:
- 消费者对网络充足性的概念是广泛和多方面的.
- 未来的研究应该探索资源有限的环境中的消费者权衡.
- 对提供商和保险公司的看法进行进一步的调查是有必要的.
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