在双重资格的老年人中,医疗补助让人放松的经历
Renuka Tipirneni1,2, Wendy Furst1, Dominic A Ruggiero3
1Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor.
JAMA health forum
|January 10, 2025
概括
许多双重资格的老年人不知道医疗补助重新确定,导致护理获取障碍. 解决这些差距至关重要,以防止医疗补助损失,并确保对弱势老年人的护理连续性.
科学领域:
- 老年学是一门学科.
- 卫生政策 卫生政策
- 公共卫生 公共卫生
背景情况:
- 双重资格的老年人利用医疗补助医疗保险的成本共享和牙科和长期护理等基本服务.
- 这些人群在医疗补助解散期间的经历在很大程度上是未经记录的.
研究的目的:
- 评估双重资格的老年人对医疗补助重新确定过程的认识和经验.
- 识别医疗补助解散期间这一人口群体面临的护理准入障碍.
主要方法:
- 对65岁以上的美国成年人进行了一项全国横截面调查,他们的收入与联邦贫困水平的100%或以下.
- 数据收集于2024年1月23日至2月19日通过互联网和电话进行,使用基于概率和非概率的面板.
主要成果:
- 近一半的受访者 (49.0%) 没有意识到医疗补助计划的续期,而37.0%的人没有完成这一过程.
- 虽然大多数人维持了医疗补助 (87.7%),但那些失去了覆盖率的人报告了延迟或放弃护理的更高率 (高达30.6%).
- 与成本相关的障碍在牙科 (25.1%) 和家庭卫生服务 (18.5%) 中最为普遍.
结论:
- 在双重资格的老年人中,关于医疗补助的解除存在重大信息缺口和导航挑战.
- 需要采取干预措施来提高意识并支持重新注册,从而减轻获得护理的障碍.
- 解决这些问题对于防止医疗补助退学及其相关的负面健康结果至关重要.
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