COVID-19持续招生与自我报告的产后医疗补助连续性和覆盖不平等性的关联
Erica L Eliason1,2, Sarah H Gordon3, Maria W Steenland4,5
1Center for State Health Policy, Rutgers University, New Brunswick, New Jersey, USA.
Health services research
|March 26, 2025
概括
延长产后医疗补助资格增加了保险覆盖范围,并减少了新生母亲的无保险. 这些收益在种族和民族群体之间是一致的,特别是在没有医疗补助扩张的州.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 孕产妇健康 孕产妇健康
背景情况:
- 家庭首先应对冠状病毒法案 (FFCRA) 暂时延长了产后医疗补助资格.
- 了解这些延期对保险连续性的影响对于产妇健康政策至关重要.
研究的目的:
- 评估根据FFCRA扩大产后医疗补助资格对保险状况的影响.
- 通过国家医疗补助扩张和种族/种族来检查差异.
主要方法:
- 使用2018-2021年怀孕风险评估监测系统数据进行回归不连续性设计 (RDD).
- 在FFCRA资格期之前和期间分娩的个人进行了比较.
- 分析了29个司法管辖区的产前医疗补助受益者 (20岁以上) 的数据.
主要成果:
- 延长医疗补助资格增加了产后医疗补助10.7个百分点,减少了6.5个百分点的无保险.
- 在没有扩张的州,覆盖率的增长更为明显.
- 在各种种族和族裔群体中观察到,医疗补助覆盖范围和减少无保险的改善也相似.
结论:
- 延长产后医疗补助资格显著改善了保险连续性,减少了无保险.
- 这些发现支持旨在维持产后医疗保障的政策,例如美国救援计划下的延期.
相关概念视频
Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
Longitudinal Research
11.8K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.8K
Standards of Care I
661
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
661
Specialized Care Centers and Settings-II
689
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
689
Preventive Healthcare Services
957
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
957
Censoring Survival Data
54
Survival analysis is a statistical method used to analyze time-to-event data, often employed in fields such as medicine, engineering, and social sciences. One of the key challenges in survival analysis is dealing with incomplete data, a phenomenon known as "censoring." Censoring occurs when the event of interest (such as death, relapse, or system failure) has not occurred for some individuals by the end of the study period or is otherwise unobservable, and it might have many different...
54


