在波多黎各连续发生灾难期间使用私人索赔数据对医疗保健利用趋势的区域分析
Jim P Stimpson1, Damaris Lopez Mercado2, Alexandra C Rivera-González3
1University of Texas Southwestern Medical Center, Peter O'Donnell Jr. School of Public Health, Dallas, TX, USA. James.Stimpson@UTSouthwestern.edu.
波多黎各 波多黎各 波多黎各
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
- 灾难医学 灾难医学
背景情况:
- 波多黎各的医疗保健系统因连续发生的自然灾害而面临重大压力:风伊尔玛和玛丽亚 (2017年),地震 (2019年) 和COVID-19大流行 (2020年).
- 了解这些事件对医疗保健利用的影响对于改善灾难准备和卫生系统弹性至关重要.
研究的目的:
- 从2016年到2022年,检查波多黎各各个卫生区域的伤害,传染病和心理健康服务的医疗保健利用趋势.
- 在多次灾难事件后,确定医疗保健获取和利用的区域差异.
主要方法:
- 来自四家主要保险公司的私人保险索赔数据分析,涵盖2016-2022年.
- 计算7个卫生区域的每1000名受益人的医疗保健利用率.
- 对受伤,传染病和心理健康/物质使用服务的索赔趋势分析.
主要成果:
- 传染病索赔在灾后显著增加,在2020年之后达到顶峰,特别是在卡古亚斯地区.
- 心理健康和物质使用索赔在所有地区都显示出一致的上升趋势,卡古亚斯和庞斯地区的增长最大.
- 伤害索赔在2020年下降,但到2021年恢复,卡瓜斯始终显示最高率.
结论:
- 连续发生的灾难对波多黎各的医疗保健利用产生了重大影响,特别是传染病和心理健康服务.
- 利用率的区域差异凸显了针对性干预的必要性,以增强卫生系统的弹性并确保公平获取.
- 调查结果强调了主动战略的重要性,以加强灾难易发地区的医疗保健系统.
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