在小儿社区卫生中心患者中解除连续医疗补助覆盖范围
Wyatt P Bensken1,2, Jenine Dankovchik1, Hannah L Fein1
1Department of Research, OCHIN, Portland, Oregon.
JAMA network open
|February 6, 2025
概括
在医疗补助持续覆盖率下降期间,8.7%的儿科患者失去了覆盖率. 在老年儿童,女性,美洲印第安人/阿拉斯加土著患者和患有复杂医疗状况的人群中,退学率更高.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科健康 儿科健康
- 公共卫生政策 公共卫生政策
背景情况:
- 在COVID-19大流行期间,各州提供了连续的医疗补助覆盖.
- 连续医疗补助覆盖的解除始于2023年4月,这引起了儿科患者的担忧.
研究的目的:
- 为了检查儿童患者在放松期间的医疗补助覆盖范围的损失.
- 确定与儿童退学相关的人口和临床因素.
主要方法:
- 一项多州的队列研究分析了来自450,146名儿童患者的数据,这些患者年龄在17岁以下.
- 后勤和考克斯的比例危险回归模型评估了医疗补助退学到无保险状态.
- 暴露包括年龄,性别,种族/种族,语言和医疗复杂性.
主要成果:
- 总体而言,8.7%的儿科患者失去了医疗补助覆盖.
- 年龄较大的儿童 (12-17岁),女性和美国印第安人/阿拉斯加土著患者的退学率较高.
- 增加的医疗复杂性与更高的退学几率有关.
结论:
- 显著比例的儿科患者在放松期间失去医疗补助覆盖.
- 根据人口统计和临床因素观察到退学率的差异.
- 这种覆盖范围的丧失可能会影响儿童获得护理和健康结果的机会.
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