通过围产家庭访问来解决母亲和儿童健康差异
Marina C Jenkins1, Christine Piette Durrance2, Deborah B Ehrenthal3
1Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, mjenki51@jh.edu.
医疗补助覆盖面对孕产妇健康至关重要. 将产后医疗补助延长到12个月,确保了持续的护理,解决了显著的覆盖差距,并改善了母亲和婴儿的结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 孕产妇健康 孕产妇健康
背景情况:
- 美国持续高的孕产妇发病率和死亡率需要持续的医疗保健准入.
- 医疗补助计划是美国怀孕,分娩和产后护理的主要支付人.
研究的目的:
- 分析从怀孕前到产后12个月的母亲的医疗补助入学模式.
- 为了确定与产后医疗补助覆盖损失相关的因素.
主要方法:
- 利用威斯康星州的出生证明记录与医疗补助入学数据 (2009-2018) 相联系.
- 使用描述性统计和逻辑二项式回归来评估覆盖范围.
- 检查的共同变量包括母亲的年龄,种族/种族,平等,教育和婚姻状况.
主要成果:
- 86.1%的母亲在分娩后的第一年保持了连续的医疗补助入学.
- 产后的医疗补助退学在产后3个月达到顶峰.
- 母亲的特点,如年龄,婚姻状况和平等程度,影响了未注册的风险,显著的种族/民族差异.
结论:
- 将产后医疗补助保险延长到90天,可以减轻三分之一的保险损失.
- 建议将Medicaid补助计划延长为12个月,以确保在关键时期持续获得医疗保健.
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