枪支伤害后的医疗保险不稳定性:一项匹配的队列研究
George Karandinos1,2, Mia Giuriato3, Peter T Masiakos2,4
1MGH Gun Violence Prevention Center, Division of General Internal Medicine and Mongan Institute, Massachusetts General Hospital, Boston, MA, United States.
枪支伤害幸存者面临更高的医疗保险不稳定性,特别是严重伤害. 这种不稳定性可能会扰乱护理,并增加公共医疗保健成本.
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
- 创伤外科 手术 创伤外科
背景情况:
- 医疗保险的不稳定性与不良的临床结果有关.
- 维持医疗保险对于枪支伤害幸存者至关重要,因为他们有广泛的医疗需求.
- 医疗保健支出增加与枪支伤害有关.
研究的目的:
- 为了确定经历枪支伤害后医疗保险不稳定的风险.
- 分析枪支伤害严重程度与随后的保险不稳定性之间的关联.
主要方法:
- 对2007-2022年商业保险索赔数据的分析.
- 包括3,653名枪支伤害幸存者和17,422名匹配的对照.
- 匹配标准包括人口统计,风险分数和计划特征.
主要成果:
- 在一年内,36.1%的幸存者经历了保险不稳定,而对照组为28.1% (aRR为1.34).
- 严重受伤的幸存者有更高的不稳定率 (37.3%对27.6%,aRR1.43).
- 受影响的初级招生人经常覆盖受托人,影响家庭覆盖.
结论:
- 枪支伤害显著增加了医疗保险不稳定的风险.
- 更严重的伤害与更大的保险不稳定性相关.
- 保险中断可能会阻碍护理的连续性,并增加公共医疗负担.
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