国家级医疗补助补偿和医疗补助和儿童健康保险计划的成像利用患者患者
Eric W Christensen1, Alexandra R Drake2, Neil C Davey3
1Research Director, Harvey L. Neiman Health Policy Institute, Reston, Virginia.
Journal of the American College of Radiology : JACR
|December 21, 2024
概括
较高的医疗补助与医疗保险补偿比率 (MMRR) 与医疗补助患者中诊断成像使用量的增加相关. 虽然接受CT,MR,超声波和XR成像的可能性增加,但这些方法的研究数量保持不变.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
- 放射学 放射学是一门学科.
背景情况:
- 了解医疗补偿对患者获得诊断成像的影响至关重要.
- 医疗补助补偿费率在各州和模式之间存在很大差异.
- 以前的研究还没有完全阐明相对补偿和成像利用之间的关联.
研究的目的:
- 调查州级医疗补助与医疗保险报销比率 (MMRR) 与医疗补助受益者使用诊断成像服务之间的关系.
- 为了确定更高的报销率是否与图像使用的增加或减少有关.
主要方法:
- 一项横截面研究分析了超过4800万名医疗补助患者的数据.
- 为各种成像方式 (CT,MR,NM,超声波,XR) 计算了国家特定的MMRR.
- 后勤和玛回归模型评估了成像研究的可能性和数量,控制了患者的人口统计.
主要成果:
- 较高的MMRR与医疗补助患者接受CT,MR,超声波和XR成像的可能性增加显著相关.
- 具体来说,MMRR的第75个百分位数显示,与第25个百分位数相比,成像利用的可能性更高.
- 在接受成像的人群中,对CT,MR,超声波和XR的成像研究的平均数量没有显著差异.
结论:
- 医疗补助退款率与诊断成像使用模式有明显的联系.
- 增加的MMRR对Medicaid患者获得CT,MR,超声波和XR等关键成像服务的可能性产生积极影响.
- 虽然获得机会的可能性随着补偿金的增加而增加,但这些模式的总体研究量似乎没有受到影响.
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