金融保障对军事医疗系统中助听器使用率的影响
James J Pierre1, Alex W Yang1, Charles A Riley1,2
1Department of Otolaryngology, Walter Reed National Military Medical Center, Bethesda, Maryland, U.S.A.
The Laryngoscope
|January 21, 2025
概括
助听器保险福利对使用率有很大影响. 完全或部分覆盖的患者比没有覆盖的患者更有可能获得助听器,这表明成本是一个障碍.
科学领域:
- 听力学和耳鼻喉学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 听力损失影响全球数以百万计的人,助听器采用率差异很大.
- 听力助听器的保险覆盖范围不一致,可能造成治疗机会的差异.
研究的目的:
- 研究助听器保险福利与助听器使用率之间的关系.
- 确定不同保险覆盖水平对患者购买助听器的决定的影响.
主要方法:
- 一项回顾性队列研究分析了377名听力损失的患者.
- 患者被分为完全,部分和没有保险覆盖的组.
- 审核了助听器评估和安装数据,并进行了统计分析,包括千平方测试和ANOVA.
主要成果:
- 听力助听器的使用率在完全 (78%) 和部分 (79%) 覆盖的患者中明显高于没有覆盖的患者 (49%).
- 在覆盖组之间没有观察到听力测量 (纯音调平均值,词识别得分) 的显著差异.
- 出口成本似乎是影响助听器采用的主要因素.
结论:
- 助听器的经济保障是使用的关键决定因素.
- 增加助听器保险福利的政策可以提高听力损失患者的采用率.
- 解决财务障碍对于提高助听器可访问性至关重要.
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