美国的医疗保险覆盖和助听器使用情况 老年人:国家健康访谈调查
Diego E Razura1,2, Nikko D Beady1, Matthew E Lin3
1Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee, USA.
概括
美国老年人使用助听器的比例很低. 与医疗保险相比,军人保险与助听器使用率更高有关,这突显了保险覆盖对助听器采用的影响.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在美国老年人中,助听器的使用仍然不够理想.
- 保险覆盖面对获得和使用听力医疗保健服务产生重大影响.
研究的目的:
- 根据保险覆盖,评估美国老年人使用助听器的比例.
- 考察不同保险类别的助听器使用趋势.
主要方法:
- 国家健康访谈调查 (2007-2018) 的横截面分析.
- 包括65岁及以上的成年人,自我报告的听力受限.
- 多变量回归分析以检查16个保险类别与助听器使用之间的关联.
主要成果:
- 在听力受限的老年人中,助听器使用率总体为51.2%.
- 军人保险 (单独或与医疗保险一起) 与仅医疗保险的覆盖范围相比,与显著更高的助听器使用有关.
- 在2007年至2018年期间,在私人,医疗补助或军事保险集团中没有观察到助听器使用率的重大变化.
结论:
- 在美国老年人中,助听器的使用率很低,因保险影响而存在很大的差异.
- 与军方相关的保险,提供更好的保险,与助听器的采用增加有关.
- 需要进一步的研究来了解保险政策对助听器使用和健康结果的影响.
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