医疗补助覆盖的连续性与儿童和青少年/年轻人的淋巴瘤阶段有关
Xinyue Elyse Zhang1, Sharon M Castellino2,3,4, K Robin Yabroff5
1Department of Health Policy and Management, Emory University Rollins School of Public Health, Atlanta, GA.
持续的医疗保险对于早期发现癌症至关重要. 这项研究发现,在儿童和年轻人的淋巴瘤诊断之前,持续的医疗补助覆盖率与晚期疾病的几率较低有关.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 儿科血液学/瘤学
背景情况:
- 淋巴瘤是儿童和青少年/年轻成年人 (AYA) 的重要癌症.
- 淋巴瘤的晚期诊断与较差的结果有关.
- 持续的健康保险对于早期发现和诊断癌症至关重要.
研究的目的:
- 检查儿童和AYA在诊断时的淋巴瘤阶段与Medicaid入学时间和连续性之间的关联.
- 为了确定连续的医疗补助覆盖是否会影响晚期诊断的可能性.
主要方法:
- 利用监测,流行病学和最终结果-医疗补助数据从2007年至2013年在12个州.
- 确定的儿童和AYA (0-39岁) 被诊断为淋巴瘤.
- 分类医疗补助入学模式:连续,新获得的和其他.
- 定义后期阶段的疾病为安纳伯第四阶段.
主要成果:
- 在3524名患者中,37.8%的患者持续接受医疗补助,35.2%的患者新获得医疗补助,27.0%的患者接受其他入学模式.
- 与连续注册的患者相比,新获得医疗补助的患者患第四阶段淋巴瘤的可能性增加了54%.
- 其他医疗补助模式的患者患IV期淋巴瘤的可能性增加了18%.
结论:
- 在诊断之前持续的医疗保险覆盖率与晚期淋巴瘤的可能性降低有关.
- 只有少数 (3在8) 的医疗补助保险儿童和淋巴瘤的AYA在诊断前有连续的保险.
- 确保持续的保险覆盖可能会改善儿科和AYA淋巴瘤患者的早期检测和结果.
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