医疗保险资源使用因英语阅读能力而异.
Lilly Estenson1, Eric T Roberts2,3, Mireille Jacobson1,4
1Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
Innovation in aging
|January 28, 2025
概括
英语阅读能力显著影响医疗保险资源使用. 英语阅读能力有限的受益人不太可能利用医疗保险信息资源,突出需要改善可访问性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生沟通健康沟通
- 健康差异 在健康上的差异
背景情况:
- 医疗保险覆盖的决定对受益人来说是复杂的.
- 医疗保险和医疗补助服务中心 (CMS) 提供信息资源 (热线,手册,网站).
- 影响这些CMS资源使用的因素尚不清楚.
研究的目的:
- 检查有限的英语口语和阅读能力作为CMS医疗保险信息资源使用的预测指标.
- 评估英语水平有限的医疗保险受益人之间使用CMS资源的可能性的差异.
主要方法:
- 使用的2016-2018年医疗保险当前受益者调查数据 (n=20,715).
- 采用线性概率模型,根据人口,社会经济,健康和当地市场因素进行调整.
- 主要结果:使用三种CMS资源中的至少一个资源的指标.
主要成果:
- 4.8%的英语口语能力有限;7.0%的英语阅读能力有限.
- 英语阅读能力有限的受益人使用CMS资源的可能性降低了16.3个百分点 (p < .001).
- 有限的英语口语能力与CMS资源使用没有显著关联.
结论:
- 英语阅读能力是医疗保险受益人获得信息资源的低估因素.
- 提供和宣传医疗保险信息的替代策略可能会减少受益人英语阅读能力有限的障碍.
- 解决阅读能力障碍可以改善公平获得医疗保险福利和覆盖信息的机会.
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