美国阿米什人的医疗保健融资实践
Evan J Beck1, Kevin E Kucharski2, Kiri E Sunde3
1University of Michigan Medical School, Ann Arbor, MI, USA. beckev@med.umich.edu.
Journal of community health
|December 20, 2024
概括
阿米什社区经常使用互助医疗保健,但成本问题导致一些人避免医疗保健. 对于提供者来说,了解这些独特的融资方法至关重要.
科学领域:
- 卫生社会学 卫生社会学
- 公共卫生政策 公共卫生政策
- 医疗保健经济学 医疗保健经济学
背景情况:
- 阿米什人是一个不断增长的民族宗教团体,传统上使用社区互助来为医疗保健提供资金.
- 关于阿米什互助计划的成本,结构和有效性的理解有限.
研究的目的:
- 描述阿米什互助医疗保健组织的特点和财务机制.
- 评估这些计划的感知效率和挑战,包括与成本相关的护理障碍.
主要方法:
- 在12个州的1006个阿米什家庭中,使用31个问题仪器进行了调查.
- 对155个回复调查 (15.4%的回复率) 进行了统计分析.
主要成果:
- 81%的受访者参加了互助组织,每年的医疗保健支出从500美元到18,000美元不等.
- 超过90%的人信任社区支持医疗保健费用,但39%的人有时因为费用而避免医疗保健.
- 在阿米什人群中,在避免成本和负担能力的看法方面发现了显著的区域差异.
结论:
- 艾米什人在医疗保健方面的互助是普遍存在的,利用各种融资模式,如订阅和捐赠.
- 这些组织的成功受到人口分布和卫生系统整合的影响.
- 医疗保健提供者需要了解阿米什人的财务实践,以便有效的患者计费和护理协调.
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