获得医疗补助计划生育服务的州级趋势,2008-2023年
Austin M Williams1, Enrique M Saldarriaga1, Ryan Cramer1
1Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Health services research
|October 23, 2024
概括
19-44岁妇女的医疗补助计划生育资格通常增加,但由于收入上升,整体资格下降. 确定了这些变化的关键驱动因素,影响了获得生殖健康服务的机会.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 医疗补助计划是美国计划生育服务的重要支付者.
- 这些服务的资格在各州和随着时间的推移而有很大差异.
- 了解这些差异对于评估获得生殖健康护理的机会至关重要.
研究的目的:
- 描述决定医疗补助计划生育服务资格的政策格局.
- 描述2008年至2023年的资格及其决定因素的趋势.
- 分析有资格获得这些服务的女性比例,并确定变革的关键驱动因素.
主要方法:
- 使用所有美国州 (2008-2023) 的二次数据进行描述性研究.
- 国家医疗补助计划1115豁免和国家计划修正案 (SPA) 的分析.
- 使用美国社区调查 (ACS) 数据对19-44岁妇女的合格人口的估计.
主要成果:
- 尽管资格限额普遍上升,但符合医疗补助计划生育资格的19至44岁妇女比例从45.0% (2012) 降至39.4% (2022),主要是由于收入增长.
- 在资格途径中观察到显著的地理和时间差异.
- 低于贫困线的妇女的资格差距大幅缩小,从6.3% (2013) 降至1.5% (2022).
结论:
- 在医疗补助计划生育服务资格方面存在显著的地理和时间差异.
- 确定了资格变化的关键驱动因素,对医疗服务研究产生影响.
- 政策分析对于理解和改善通过经费测试计划获得生殖健康服务至关重要.
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