一种障碍和负二项式模型方法来分析高扣除健康计划下的诊断成像利用中的性别差异
1School of Economics and Business Administration, Chongqing University, Chongqing, China.
Frontiers in public health
|April 11, 2025
概括
高扣除健康计划 (HDHPs) 减少了诊断成像的使用,特别是在男性身上. 初始超声波的使用在HDHPs下男性比女性更多地下降,突出了获得医疗保健的性别差异.
科学领域:
- 卫生经济学 卫生经济学
- 医疗成像利用利用方法
- 医疗保健中的性别差异
背景情况:
- 高扣除健康计划 (HDHP) 是越来越常见的医疗保健成本控制策略.
- HDHPs对诊断成像利用的影响,特别是关于性别差异的影响,尚不清楚.
研究的目的:
- 调查HDHP的招生如何影响诊断成像利用率和模式.
- 为了检查基于性别的差异在成像服务使用在HDHPs下的不同模式.
主要方法:
- 使用2010年森-路透社MarketScan商业数据库进行定量分析.
- 采用负二项回归和障碍模型来评估HDHP招生与成像利用的关联.
- 专注于使用模式的性别特异性差异.
主要成果:
- 在HDHP招生后,整体诊断成像利用率下降了7%.
- 与女性相比,男性对成像使用的减少更为显著.
- 初始超声波利用率在男性中比女性下降了8.2%;然而,初始化后的利用率没有显著的性别差异.
结论:
- 高发达人群在诊断成像利用上表现出性别差异化的影响,男性的减少更大.
- 男性的初始成像和超声波使用率下降更明显.
- 调查结果强调需要性别敏感的医疗保险政策和针对性的患者教育,以获得公平的机会.
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