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保险覆盖和获得妇科瘤治疗:我们现在处于何处?
Lakeisha Mulugeta-Gordon1, Anna Jo Bodurtha Smith2
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania Health Systems, Philadelphia, PA, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania Health Systems, Philadelphia, PA, United States of America; Penn Center for Cancer Care Innovation, Abramson Cancer Center, University of Pennsylvania Health Systems, Philadelphia, PA, United States of America.
在美国,妇科癌症护理的获取受到保险覆盖的挑战. 医疗补助扩张改善了结果,但差距仍然存在,需要更好的保险素养和协调护理.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 每年超过115,000名美国人被诊断患有妇科癌症.
- 获得妇科瘤学家和基于证据的治疗方法仍然具有挑战性.
- 保险覆盖面对癌症护理的获得和结果产生重大影响.
研究的目的:
- 检查保险覆盖在妇科癌症护理中的作用.
- 识别与保险类型和国家政策相关的护理差异.
- 探索改善公平获得妇科癌症治疗的策略.
主要方法:
- 对保险政策 (医疗补助,医疗保险,私人) 的分析.
- 对"负担得起的医疗保健法案" (Affordable Care Act) 医疗补助扩大对妇科癌症结果的影响的审查.
- 识别护理障碍,包括自付费用和覆盖差距.
主要成果:
- 医疗补助扩张改善了妇科癌症的早期诊断,治疗和生存率.
- 护理准入方面的差异仍然存在,特别是在非医疗补助扩张州.
- 覆盖率差距和医疗保险和私人保险的高成本阻碍了获得新疗法的机会.
结论:
- 保险覆盖是妇科癌症护理获得和结果的关键决定因素.
- 解决差异需要提高保险素养,护理协调和社区伙伴关系.
- 减少行政负担和扩大临床试验准入的努力正在进行中.
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