儿童健康融资和支付如何缓解和延续结构性种族主义?
Jennifer D Kusma1, Alexy Arauz Boudreau2, James M Perrin2
1Division of Advanced General Pediatrics and Primary Care (JD Kusma), Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Ill; Mary Ann & J. Milburn Smith Child Health Outcomes, Research, and Evaluation Center (JD Kusma), Stanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Ill.
儿童的商业和公共医疗保险,特别是医疗补助和儿童健康保险计划 (CHIP),造成了健康差距. 这些计划不成比例地服务于少数民族儿童,突出了医疗保健获取和结果的不平等.
科学领域:
- 卫生政策 卫生政策
- 儿科健康的公平性.
- 医疗保健融资 医疗保健融资
背景情况:
- 商业和公共保险是为儿童和青少年提供医疗资金的主要来源.
- 商业和公共保险计划所服务的人口之间存在显著的种族和民族差异.
- 这种隔离有助于健康和医疗保健的不平等.
研究的目的:
- 检查卫生融资在儿童和青少年健康差异延续中的作用.
- 分析医疗补助和CHIP对种族和少数民族儿童的影响.
- 确定潜在的政策变化以减轻这些差异.
主要方法:
- 对儿童和青少年的健康融资来源的分析.
- 检查不同保险类型所服务的种族和民族人口统计数据.
- 审查医疗补助和CHIP的特点,包括资格,入学和覆盖服务.
主要成果:
- 医疗补助和CHIP保险覆盖超过50%的美国儿童,种族和民族少数群体的比例更高.
- 医疗补助计划提供了显著的短期和长期健康和发展效益.
- 医疗补助的州差异,低支付率和入学实践导致少数民族儿童的"独立和不平等"制度.
结论:
- 医疗补助和CHIP对于儿童健康至关重要,但表现出系统性的不平等.
- 政策改革,如加强国家标准,确保覆盖,并纳入风险调整,可以减少种族差异.
- 解决医疗融资中的结构性问题对于实现儿童健康公平至关重要.
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