在2010年至2020年期间,医疗保险受益人中的家庭医疗保健使用情况
Seiyoun Kim1, Mingyu Qi2, R Tamara Konetzka2
1University of Pennsylvania, Philadelphia, USA.
Medical care research and review : MCRR
|February 20, 2025
概括
医疗保险家庭医疗利用趋势在2010年至2020年之间发生了转变. 传统的医疗保险受益人看到家庭医疗使用减少,而医疗保险优势注册人经历了社区发起的家庭医疗服务的增加.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是指老年学的学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保险家庭医疗对需要家庭护理的受益人来说至关重要.
- 系统变化包括医疗保险支出限制,医疗保险优势增长以及长期护理服务的转变.
- 了解这些对家庭健康利用的影响至关重要.
研究的目的:
- 检查2010年至2020年传统医疗保险 (TM) 和医疗保险优势 (MA) 受益人中的家庭医疗保健使用趋势.
- 分析家庭健康启动 (退院后与社区) 和受益者类型 (双重对非双重符合条件) 的差异.
主要方法:
- 从2010年到2020年对医疗保险受益者数据的回顾性分析.
- 在TM和MA学员之间对家庭健康事件趋势的比较.
- 分析的分层,按事件发起源和双重资格状态进行分层分析.
主要成果:
- 在社区发起的和出院后的情节中,家庭卫生使用在TM入学者中下降.
- 在MA入学者中,家庭医疗的使用增加了,特别是在社区发起的情节中.
- 社区发起的家庭健康的增长在非双重资格受益者中最为明显.
结论:
- 与传统的医疗保险相比,医疗保险优势计划在家庭健康利用方面呈现出不同的轨迹.
- 转变的模式表明,医疗保险内部正在发展的护理交付模式.
- 需要进一步的研究来了解这些利用趋势的驱动因素和影响.
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