阐明各州防晒覆盖率的差异 医疗补助计划优先药物清单
Celine M Schreidah1, Joshua A Kent2, Oluwaseyi Adeuyan1
1Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Pediatric dermatology
|September 30, 2024
概括
大多数州的医疗补助计划都不涵盖非处方 (OTC) 防晒,这是预防皮肤癌的关键工具. 这种缺乏覆盖面对低收入人群造成了财务障碍,可能会阻碍防晒工作.
科学领域:
- 皮肤病学 皮肤病学
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 非处方药 (OTC) 防晒对于预防皮肤癌至关重要.
- 医疗补助计划是低收入人群的重要健康保险计划,很少覆盖OTC防晒.
- 这种覆盖差距可能会不成比例地影响具有有限财务资源的个人.
研究的目的:
- 分析美国所有州OTC防晒的医疗保险覆盖范围.
- 为了比较Medicaid受益人的防晒措施的可用性.
- 讨论将防晒排除在医疗补助福利之外的财务影响.
主要方法:
- 对来自50个州和哥伦比亚特区的111个医疗补助优先药物清单 (PDL) 进行了全面审查.
- 该研究确定了在福利计划中包括防晒覆盖范围的州.
- 分析了防晒作为预防措施的计算和理论年度成本.
主要成果:
- 只有五个州的医疗补助计划被发现可以覆盖OTC防晒.
- 绝大多数州医疗补助计划中没有将防晒列为可退款项.
- 这种有限的覆盖面对医疗补助受益人来说,对阳光保护构成重大财务障碍.
结论:
- 缺乏医疗补助计划对OTC防晒的覆盖,代表了弱势群体皮肤癌预防策略的重大差距.
- 将防晒覆盖范围纳入政策的变化可以改善低收入人群获得必要的防晒保护的机会.
- 解决这一覆盖差异对于减少服务不足社区的皮肤癌发病率至关重要.
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