在州内和州外堕胎护理的灾难性医疗支出
Ortal Wasser1, Lauren J Ralph2, Shelly Kaller2
1Silver School of Social Work, New York University, New York.
JAMA network open
|November 8, 2024
概括
许多寻求堕胎护理的人面临着巨大的财务负担,尤其是在出国旅行时. 灾难性的医疗支出与焦虑和抑郁症的增加有关,突出了进入障碍.
科学领域:
- 生殖健康 生殖健康
- 卫生经济学 卫生经济学
- 心理健康研究 心理健康研究
背景情况:
- 保险覆盖的限制往往导致美国堕胎护理的自付费用.
- 与寻求堕胎相关的财务和心理负担需要进一步调查,特别是对于跨越州界的人来说.
研究的目的:
- 估计患有堕胎相关灾难性医疗支出 (CHEs) 的患者比例.
- 评估州内和州外堕胎护理寻求者之间的CHEs的差异.
- 检查CHE和心理健康症状之间的关联.
主要方法:
- 一项横截面研究调查了675名15-45岁的个人,他们在多布斯决定之前在3个州的4个诊所寻求堕胎.
- 参与者自行管理关于堕胎护理费用,相关的非医疗保健费用和心理健康症状的问卷.
- 灾难性医疗支出被定义为成本大于或等于支付能力的40%.
主要成果:
- 42%的参与者患有堕胎相关的CHEs,与更高的焦虑和抑郁症有关.
- 出国旅行的人患CHEs的可能性是州内患者 (32%) 的两倍以上 (65%).
- 参与者的平均年龄为27.33岁,其中大多数人在怀孕12周之前寻求护理.
结论:
- 寻求堕胎护理的人,特别是那些出国旅行的人,面临着相当大的财务负担 (CHEs).
- 这些财务压力与负面的心理健康结果有关,包括焦虑和抑郁.
- 扩大保险覆盖范围对于公平的堕胎准入至关重要,无论居住状态如何,尤其是在后多布斯的环境中.
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