负担得起的医疗保健法案的预防性服务覆盖范围授权和化漆接收
Ashley M Kranz1, Yuji Mizushima2,3, Andrew W Dick4
1RAND Corporation, Arlington, Virginia.
Pediatrics
|October 22, 2024
概括
"负担得起的医疗保健法案"
科学领域:
- 公共卫生 公共卫生
- 儿科牙科 儿科牙科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 负担得起的医疗保健法案规定,在没有成本共享的情况下提供预防性服务.
- 化漆 (FV) 应用于1-5岁的儿童,以防止牙腐烂.
- 这项研究调查了授权对幼儿体育接收的影响.
研究的目的:
- 为了确定"负担得起的医疗法案"对化物漆 (FV) 的覆盖范围是否增加了幼儿的使用.
- 评估私人保险儿童和医疗补助儿童的委托和FV收件之间的关联.
主要方法:
- 使用了马萨诸塞州所有付款人索赔数据库 (2014-2018).
- 采用差异差异方法,将1-5岁的儿童 (授权组) 与6-9岁的儿童 (控制组) 进行比较.
- 分析了2015年1月授权颁布前后的数据,包括对医疗补助儿童的溢出效应.
主要成果:
- 在私人保险的1-5岁儿童中,与对照人群相比,FV收入在授权后一年增加了0.16个百分点 (P < .001).
- 这项任务与医疗补助儿童中FV接收增加没有显著关联.
- 这种积极的关联在私人保险儿童中最为明显,这些儿童被授权覆盖.
结论:
- 负担得起的医疗保健法案的授权要求免费共享成本的化物漆覆盖范围与幼儿的FV使用增加有关.
- 在医疗环境中,在执行任务后,幼儿的FV申请率更高.
- 这些发现突出了卫生政策对儿童群体预防性服务利用的影响.
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