消除结核病的政策障碍:缺乏医疗保险的国家覆盖范围的后果 结核病预防的确定
Matthew T Murrill1,2, Katya Salcedo3,4, Cynthia A Tschampl5,6
1Division of Hospital Medicine, University of California San Francisco, San Francisco, USA. matthew.murrill@ucsf.edu.
Journal of immigrant and minority health
|March 25, 2025
概括
结核病查缺乏医疗保险的国家覆盖,阻碍了数百万人的预防. 提交了这一覆盖范围的请求,以改善健康公平,并打击日益上升的结核病率.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 传染病流行病学 传染病流行病学
背景情况:
- 结核病 (TB) 发病率在美国COVID-19后的流行病中正在上升.
- 有效消除结核病需要扩大对感染者的查和治疗.
- 医疗保险对结核病感染查的覆盖范围不清楚,阻碍了预防服务.
研究的目的:
- 要突出医疗保险覆盖的TB感染查障碍.
- 倡导 TB 查的国家覆盖率的确定.
- 解决结核病查覆盖率不足对健康公平性的影响.
主要方法:
- 对预防性服务的医疗保险覆盖政策的审查.
- 对美国预防服务工作组 (USPSTF) 建议的分析.
- 关于结核病对特定人群造成不成比例影响的健康公平影响的文件.
主要成果:
- 结核病感染查缺乏国家医疗保险覆盖率的确定.
- 其他USPSTF推的预防服务已经建立了医疗保险覆盖范围.
- 结核病不成比例地影响非美国出生的和少数美国出生的人口.
结论:
- 没有国家对结核病查的覆盖率确定是预防结核病的重要障碍,也是健康公平问题.
- 在2024年初向Medicare提交了一份针对结核病查的国家覆盖率确定请求.
- 确保医疗保险覆盖面对美国公平有效的结核病控制工作至关重要.
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