医疗保险优势网络包括很少的黑人或西班牙裔医生,使得许多人无法获得一致的护理
David J Meyers1, Eunhae Grace Oh2, Maricruz Rivera-Hernandez3
1David J. Meyers (david_meyers@brown.edu), Brown University, Providence, Rhode Island.
Health affairs (Project Hope)
|January 6, 2025
概括
医生护理中的种族一致性改善了预防服务. 然而,黑人和西班牙裔医生在医疗保险优势网络中的可用性较低,限制了许多受益者的访问.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 在医疗保健中的种族差异.
背景情况:
- 医生种族一致性与黑人和西班牙裔患者预防性护理利用率的增加有关.
- 获得种族一致的医生取决于他们被纳入私人保险网络.
研究的目的:
- 评估2019年医疗保险优势 (MA) 网络中黑人和西班牙裔医生的可用性.
- 为了确定MA受益人医生网络多样性的差异.
主要方法:
- 链接了2019年医疗保险优势医生网络数据与医生种族和种族.
- 按县和受益人人口统计数据量化了包括在MA网络中的白人,黑人和西班牙裔医生的比例.
- 测量了受益人网络内黑人或西班牙裔医生的可用性.
主要成果:
- 白人医生比黑人 (43.2%) 或西班牙裔 (44.0%) 医生更有可能参加MA网络 (51.1%) .
- 20%的黑人和西班牙裔受益者缺乏任何在网络中的黑人或西班牙裔医生.
- 41.3%的县没有黑人医生,47.2%的县在任何MA网络中没有西班牙裔医生.
结论:
- 对黑人和西班牙裔医生在医疗保险优势计划中的可用性和网络纳入存在重大担忧.
- 少数民族医生在MA网络中的代表性不足可能会加剧健康差异.
- 确保网络多样性对于公平获得护理至关重要.
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