与美国"负担得起的医疗保健法案"相关的严重孕产妇发病率降低,依赖于保险覆盖条款
Jean Guglielminotti1, Jamie R Daw2, Alexander M Friedman3
1Department of Anesthesiology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY (Guglielminotti, and Li).
负担得起的医疗保健法案依赖覆盖条款 (DCP) 没有显著减少严重的孕产妇病率 (SMM). 然而,DCP显示对非西班牙裔白人个体的健康益处,降低了他们的SMM率.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 孕产妇健康 孕产妇健康
背景情况:
- 持续的围产期医疗保险可以减少严重的孕产妇病率 (SMM) 和相关的种族/民族差异.
- 负担得起的医疗法案依赖覆盖条款 (DCP) 将私人医疗保险扩展到年轻成年人26岁.
- DCP对SMM的影响尚未先前进行评估.
研究的目的:
- 评估在分娩住院期间DCP和SMM之间的关联.
- 确定DCP是否减少SMM以及相关的种族和民族差异.
主要方法:
- 美国分娩住院病人的差异分析 (2006-2015年).
- 对比21-25岁 (DCP覆盖) 和27-31岁 (不覆盖) 的女性的SMM率.
- 按母亲的种族和种族进行分层分析.
主要成果:
- 总体而言,DCP显示SMM的相对下降率为1.2%,但不显著.
- 对于非西班牙裔白人个人来说,DCP与SMM相对减少10.7%的显著关系.
- DCP增加了私人保险,并降低了医疗补助/无保险人费率.
结论:
- DCP对母亲健康的好处似乎集中在非西班牙裔白人中.
- 需要进一步的研究来了解对其他种族和族群的影响有限.
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